Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05865 | Date 20/07/2019 |
| Token No | SM/19-20/16542 11/01/2020 | Serial | 002 Last Visit: 24/01/2020 |
| Patient Name | Mrs. MANIRA BEGAM | Contact No | 9748706309 |
| Address | RAMCHANDRAPUR,PAHAIAMPUR,DEYARA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||