Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07544 | Date 14/02/2020 |
| Token No | SM/19-20/18099 14/02/2020 | Serial | 056 Last Visit: 19/02/2020 |
| Patient Name | Mrs. CHAITALI MONDAL | Contact No | 8584889502 |
| Address | BIBIRBER,GHORAMARA, | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||