Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07896 | Date 23/03/2020 |
| Token No | SM/19-20/20168 23/03/2020 | Serial | 063 Last Visit: 28/03/2020 |
| Patient Name | Miss PRIYANKA CHANDRA | Contact No | 8777384861 |
| Address | 32/U DR. BAGAN LANE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||