Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08700 | Date 03/09/2020 |
| Token No | SM/19-20/25418 03/09/2020 | Serial | 064 Last Visit: 03/09/2020 |
| Patient Name | Mrs. BASANTI SADHUKHAN | Contact No | |
| Address | 5 CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||