Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08809 | Date 03/10/2020 |
| Token No | SM/20-21/26229 03/10/2020 | Serial | 005 Last Visit: 03/10/2020 |
| Patient Name | Mrs. SHANTI SINGH | Contact No | 7980265918 |
| Address | 58 TELIPARA LANE CHATRA , BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||