Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08493 | Date 06/07/2020 |
| Token No | SM/19-20/23828 06/07/2020 | Serial | 070 Last Visit: 06/07/2020 |
| Patient Name | Mrs. UMA DAS | Contact No | 9433603054 |
| Address | 504 G T ROAD , BAIDYABATI(M) | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||