Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07753 | Date 11/03/2020 |
| Token No | SM/19-20/19405 11/03/2020 | Serial | 068 Last Visit: 11/03/2020 |
| Patient Name | Mrs. RENUKA SENAPATI | Contact No | 8910276378 |
| Address | 49 CHATRA MUKHERJEE PARA HARISABHA , BAIDYABATI(M) | Age | 70 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 130/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||