Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07960 | Date 30/03/2020 |
| Token No | SM/19-20/20475 30/03/2020 | Serial | 026 Last Visit: 30/03/2020 |
| Patient Name | Miss NASIN SABA | Contact No | 8013702481 |
| Address | ARABINDA SARANI BAIDYABATI M | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||