Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07315 | Date 10/01/2020 |
| Token No | SM/19-20/16515 10/01/2020 | Serial | 040 Last Visit: 10/01/2020 |
| Patient Name | Miss SWITY SINGH | Contact No | 6245784584 |
| Address | RAMCHANDAR PUR HARISABHA , BAIDYABATI | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||