Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07983 | Date 31/03/2020 |
| Token No | SM/19-20/20568 31/03/2020 | Serial | 038 Last Visit: 31/03/2020 |
| Patient Name | Mrs. SANTI MAHATO | Contact No | 9088547540 |
| Address | 25 MUKHARJEE PARA LANE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||