Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08076 | Date 13/04/2020 |
| Token No | SM/19-20/21101 13/04/2020 | Serial | 069 Last Visit: 13/04/2020 |
| Patient Name | Mrs. SHIBANI BASU | Contact No | 9830924002 |
| Address | 4/A CHAKRABORTY LANE, | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||