Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07310 | Date 09/01/2020 |
| Token No | SM/19-20/16463 09/01/2020 | Serial | 064 Last Visit: 09/01/2020 |
| Patient Name | Mrs. MALATI KARMAKAR | Contact No | 7278025421 |
| Address | 25 CHAKRABORTY LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||