Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08230 | Date 06/05/2020 |
| Token No | SM/19-20/22008 06/05/2020 | Serial | 033 Last Visit: 29/05/2020 |
| Patient Name | Mrs. TANUSREE BARIK | Contact No | 7044768936 |
| Address | CHOTO BELU CHAK POST | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||