Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07904 | Date 24/03/2020 |
| Token No | SM/19-20/20209 24/03/2020 | Serial | 030 Last Visit: 29/12/2020 |
| Patient Name | Mrs. TUMPA KUNDU | Contact No | 9748141721 |
| Address | 11/A MUSALMAN PARA ROAD,SHEORAPHULI | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||