Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07327 | Date 11/01/2020 |
| Token No | SM/19-20/16598 11/01/2020 | Serial | 058 Last Visit: 11/01/2020 |
| Patient Name | Miss ANUSHAKA JHA | Contact No | 7003856876 |
| Address | K.C SEN ROAD MOREPUKUR, RISHRA | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||