Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08048 | Date 09/04/2020 |
| Token No | SM/19-20/20927 09/04/2020 | Serial | 005 Last Visit: 09/04/2020 |
| Patient Name | Mrs. KANCHAN HALDER | Contact No | 7044730767 |
| Address | CHATRA BARUI PARA LANE SHIBTALA | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||