Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08317 | Date 08/06/2020 |
| Token No | SM/19-20/22858 08/06/2020 | Serial | 037 Last Visit: 08/06/2020 |
| Patient Name | Mrs. SOMA SENAPATI | Contact No | 9748145874 |
| Address | 49/1/133 MUKHERJEE PARA HARISABHA, CHATRA , BAIDYABATI(M) | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||