Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07313 | Date 10/01/2020 |
| Token No | SM/19-20/16509 10/01/2020 | Serial | 034 Last Visit: 10/01/2020 |
| Patient Name | Mrs. ISHA THAKUR | Contact No | 9163458285 |
| Address | K C SEN ROAD MOREPUKUR, RISHRA | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||