Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08702 | Date 04/09/2020 |
| Token No | SM/20-21/25659 12/09/2020 | Serial | 021 Last Visit: 06/01/2021 |
| Patient Name | Mrs. MANJU DEBI SAH | Contact No | 7439620017 |
| Address | 49 L B S ROAD SERAMPORE TINBAZAR | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||