Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07826 | Date 17/03/2020 |
| Token No | SM/19-20/22267 15/05/2020 | Serial | 034 Last Visit: 15/05/2020 |
| Patient Name | Mrs. SANAKA MAITY | Contact No | 9903996122 |
| Address | PURUSOTTAMPUR,MOLLASIMLA | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||