Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07939 | Date 27/03/2020 |
| Token No | SM/19-20/20355 27/03/2020 | Serial | 003 Last Visit: 27/03/2020 |
| Patient Name | Mrs. TULI DAS | Contact No | 9088684496 |
| Address | 37/A A P GHOSH ROAD | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||