Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07906 | Date 24/03/2020 |
| Token No | SM/19-20/20212 24/03/2020 | Serial | 033 Last Visit: 22/04/2020 |
| Patient Name | Mrs. DALI MANDAL | Contact No | 6290064317 |
| Address | 18 N. N. ROY STREET, | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||