Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07351 | Date 16/01/2020 |
| Token No | SM/19-20/16993 21/01/2020 | Serial | 037 Last Visit: 21/01/2020 |
| Patient Name | Mrs. PINKA KUNDU | Contact No | 8013661177 |
| Address | 37/A/2 LIBARY LANE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||