Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07388 | Date 21/01/2020 |
| Token No | SM/19-20/16997 21/01/2020 | Serial | 041 Last Visit: 21/01/2020 |
| Patient Name | Mrs. ANURADHA SANTRA | Contact No | 9748765770 |
| Address | BORAI PACHISM PARA | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||