Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08214 | Date 04/05/2020 |
| Token No | SM/19-20/21916 04/05/2020 | Serial | 060 Last Visit: 04/05/2020 |
| Patient Name | Mrs. ANAMIKA ADHIKARY | Contact No | 9073163988 |
| Address | 7/C/1 S. C. CHATTOPADHYA SARANI | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||