Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05867 | Date 20/07/2019 |
| Token No | SM/19-20/25020 19/08/2020 | Serial | 032 Last Visit: 04/09/2020 |
| Patient Name | Mrs. RINKU MONDAL | Contact No | 2875482520 |
| Address | 31/ABARA BAGAN LANE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||