Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07513 | Date 10/02/2020 |
| Token No | SM/19-20/23268 20/06/2020 | Serial | 007 Last Visit: 20/06/2020 |
| Patient Name | Mrs. DOLLY DAS | Contact No | 9830447448 |
| Address | 4 CHOWDHURI PARA LANE | Age | 78 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||