Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08221 | Date 05/05/2020 |
| Token No | SM/19-20/21951 05/05/2020 | Serial | 032 Last Visit: 05/05/2020 |
| Patient Name | Mrs. ILA KAR | Contact No | 9230338623 |
| Address | 11 MUKHERJEE PARA,BAIDYABATI(M) | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||