Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08830 | Date 07/10/2020 |
| Token No | SM/20-21/26424 07/10/2020 | Serial | 027 Last Visit: 07/10/2020 |
| Patient Name | Miss LATA KOLEY | Contact No | 7686938128 |
| Address | 426/278 CHATRA BOWBAZAR BAIDYABATI(M) | Age | 24 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||