Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07735 | Date 07/03/2020 |
| Token No | SM/19-20/19322 07/03/2020 | Serial | 068 Last Visit: 07/03/2020 |
| Patient Name | Miss PARBOTY RUIDAS | Contact No | 9748126232 |
| Address | GOSAI PARA,CHAKRABORTY LANE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||