Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08338 | Date 12/06/2020 |
| Token No | SM/19-20/23008 12/06/2020 | Serial | 014 Last Visit: 12/06/2020 |
| Patient Name | Mrs. MALATI DEVI | Contact No | 7890522275 |
| Address | 4 NO SHITAL SARKAR LANE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||