Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08442 | Date 29/06/2020 |
| Token No | SM/19-20/23502 29/06/2020 | Serial | 010 Last Visit: 06/07/2020 |
| Patient Name | Mrs. MUSARAT BIBI | Contact No | 8967796009 |
| Address | 50/1 KAJIPARA BAIDYABATI | Age | 30 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||