Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07829 | Date 18/03/2020 |
| Token No | SM/19-20/19827 18/03/2020 | Serial | 001 Last Visit: 23/03/2020 |
| Patient Name | Mrs. LAXMI ISAI | Contact No | 7890623983 |
| Address | 35/Y TARAPUKUR GOVT. QUATER,MALLICK PARA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||