Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07727 | Date 06/03/2020 |
| Token No | SM/19-20/19254 06/03/2020 | Serial | 079 Last Visit: 06/03/2020 |
| Patient Name | Mrs. SHIKHA DAS | Contact No | 9007814270 |
| Address | 47/22/1 RAM KRISHNA ROAD , BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||