Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08058 | Date 11/04/2020 |
| Token No | SM/19-20/20983 11/04/2020 | Serial | 006 Last Visit: 04/05/2020 |
| Patient Name | Mrs. RUMA MAITY | Contact No | 9674976917 |
| Address | 32/A BHADURI PARA LANE | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||