Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06689 | Date 19/10/2019 |
| Token No | SM/19-20/12059 19/10/2019 | Serial | 008 Last Visit: 19/10/2019 |
| Patient Name | Mrs. KOHINOOR BIBI | Contact No | 8647916119 |
| Address | DAKSHINPARA , BANGIHATI, MALLICKPARA | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||