Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08036 | Date 07/04/2020 |
| Token No | SM/19-20/20846 07/04/2020 | Serial | 024 Last Visit: 26/04/2021 |
| Patient Name | Mrs. JHARNA DAS | Contact No | 8420031150 |
| Address | HARIPUR ATPARA | Age | 62 Yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||