Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08473 | Date 03/07/2020 |
| Token No | SM/19-20/23684 03/07/2020 | Serial | 007 Last Visit: 03/07/2020 |
| Patient Name | Mrs. ALO DAS | Contact No | |
| Address | 26 MUKHERJEE PARA LANE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||