Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07982 | Date 31/03/2020 |
| Token No | SM/19-20/20565 31/03/2020 | Serial | 035 Last Visit: 31/03/2020 |
| Patient Name | Miss MAMUNI RUIDAS | Contact No | 9230307337 |
| Address | 33/51 DASPARA,BAIDYABATI(M) | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||