Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08886 | Date 16/10/2020 |
| Token No | SM/20-21/26761 16/10/2020 | Serial | 038 Last Visit: 16/10/2020 |
| Patient Name | Mrs. ANJALI DEY | Contact No | 9874932298 |
| Address | GHOSHPARA DAKSHIN RAJYADHARPUR MALLICKPARA | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||