Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07871 | Date 20/03/2020 |
| Token No | SM/19-20/20006 20/03/2020 | Serial | 043 Last Visit: 20/03/2020 |
| Patient Name | Mrs. NILIMA GUPTA | Contact No | 8961547647 |
| Address | 47 HARISH ROAD,BAIDYABATI(M) | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||