Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08262 | Date 16/05/2020 |
| Token No | SM/19-20/22287 16/05/2020 | Serial | 003 Last Visit: 21/03/2022 |
| Patient Name | Mrs. SAROJ DEBI | Contact No | 9883466978 |
| Address | 10/A/1 TARAPUKUR LANE | Age | 57 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||