Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05757 | Date 13/07/2019 |
| Token No | SM/19-20/6406 13/07/2019 | Serial | 070 Last Visit: 13/07/2019 |
| Patient Name | Mrs. SAGARIKA SARDER | Contact No | 9007649780 |
| Address | CHATRA KUMAR PARA, | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||