Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08451 | Date 29/06/2020 |
| Token No | SM/19-20/23542 29/06/2020 | Serial | 050 Last Visit: 20/07/2020 |
| Patient Name | Miss SOMA KOLEY | Contact No | 8240871787 |
| Address | 426/278 CHATRA,BOUBAZAER,BAIDYABATI(M) | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||