Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03384 | Date 05/02/2019 |
| Token No | SM/19-20/24736 06/08/2020 | Serial | 011 Last Visit: 25/08/2020 |
| Patient Name | Mrs. SARASWATI GUIN | Contact No | 9903204157 |
| Address | CHATRA BARUI PARA | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||