Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08111 | Date 18/04/2020 |
| Token No | SM/19-20/21321 18/04/2020 | Serial | 030 Last Visit: 18/04/2020 |
| Patient Name | Mrs. MONISHA MAJHI | Contact No | 6290725457 |
| Address | SHEORAPHULY,JOMIDAR ROAD,BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||