Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06176 | Date 20/08/2019 |
| Token No | SM/19-20/8828 20/08/2019 | Serial | 107 Last Visit: 20/08/2019 |
| Patient Name | Mrs. SARITA PARAMANICK | Contact No | 7044339057 |
| Address | DHULASIMLA RANMAHAL HOWRAH 711315 | Age | 33 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||