Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08283 | Date 27/05/2020 |
| Token No | SM/19-20/22647 01/06/2020 | Serial | 036 Last Visit: 05/06/2020 |
| Patient Name | Mrs. LAXMI DEBI | Contact No | 9088021873 |
| Address | 13,DR P.N. MUKHERJEE STREET | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||