Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08818 | Date 05/10/2020 |
| Token No | SM/20-21/26299 05/10/2020 | Serial | 035 Last Visit: 05/10/2020 |
| Patient Name | Mrs. AJI BIBI | Contact No | 7278113786 |
| Address | SHEORAPHULY,KHANDAKAR PARA,BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||