Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02880 | Date 07/01/2019 |
| Token No | SM/18-19/6431 07/01/2019 | Serial | 085 Last Visit: 07/01/2019 |
| Patient Name | Mrs. SURIYA BEGAM | Contact No | 9674430104 |
| Address | DANKUNI | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||