Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08116 | Date 20/04/2020 |
| Token No | SM/19-20/21348 20/04/2020 | Serial | 023 Last Visit: 20/04/2020 |
| Patient Name | Mrs. SARASWATI PAL | Contact No | 9874641654 |
| Address | CHATRA TETUL TALA | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||