Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08711 | Date 05/09/2020 |
| Token No | SM/19-20/25482 05/09/2020 | Serial | 013 Last Visit: 05/09/2020 |
| Patient Name | Mrs. PRIYANKA SAHA | Contact No | 9830422165 |
| Address | 40 MADAM BAGAN LANE, | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||