Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08101 | Date 17/04/2020 |
| Token No | SM/19-20/21279 17/04/2020 | Serial | 047 Last Visit: 17/04/2020 |
| Patient Name | Mrs. SARASWATI DAS | Contact No | 9748236415 |
| Address | 16 CHATRA DHARMA TALA LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||