Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03387 | Date 05/02/2019 |
| Token No | SM/18-19/8072 05/02/2019 | Serial | 063 Last Visit: 05/02/2019 |
| Patient Name | Mrs. SUJATA PARAMANIK | Contact No | 8481050516 |
| Address | DEYARA,PAHALAMPUR | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||