Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08464 | Date 02/07/2020 |
| Token No | SM/19-20/23645 02/07/2020 | Serial | 054 Last Visit: 02/07/2020 |
| Patient Name | Mrs. SUSHMA MALIK | Contact No | 9088411801 |
| Address | HARIPUR DASPARA,SINGUR | Age | 70 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||