Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08806 | Date 01/10/2020 |
| Token No | SM/20-21/26207 01/10/2020 | Serial | 033 Last Visit: 01/10/2020 |
| Patient Name | Mrs. MANJU DAS | Contact No | 9051744823 |
| Address | 1 T, C. GOSWAMI STREET | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||