Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08490 | Date 06/07/2020 |
| Token No | SM/19-20/23804 06/07/2020 | Serial | 046 Last Visit: 06/07/2020 |
| Patient Name | Miss SAGARIKA DAS | Contact No | 7003793013 |
| Address | 43 KHAS BAGAN LANE, BAIDYABATI(M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||