Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07981 | Date 31/03/2020 |
| Token No | SM/19-20/20564 31/03/2020 | Serial | 034 Last Visit: 25/04/2020 |
| Patient Name | Mrs. TUMPA RUIDAS | Contact No | 9230307337 |
| Address | 33/51 DAS PARA,BAIDYABATI(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||