Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08547 | Date 17/07/2020 |
| Token No | SM/19-20/24157 17/07/2020 | Serial | 008 Last Visit: 17/07/2020 |
| Patient Name | Mrs. JAMUNA BAG | Contact No | 8584889663 |
| Address | HARIPUR PAHALAMPUR | Age | 32 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||