Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07601 | Date 22/02/2020 |
| Token No | SM/19-20/18498 22/02/2020 | Serial | 021 Last Visit: 22/02/2020 |
| Patient Name | Mrs. ANJANA LAHA | Contact No | 9062909050 |
| Address | 29 CHATRA BARUI PARA, | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||