Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08244 | Date 11/05/2020 |
| Token No | SM/19-20/22100 11/05/2020 | Serial | 008 Last Visit: 11/05/2020 |
| Patient Name | Mrs. MEENA DAS | Contact No | 6290743234 |
| Address | 13/F LAL BAHADUR SHASRTII ROOAD | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||