Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08982 | Date 18/11/2020 |
| Token No | SM/20-21/27612 18/11/2020 | Serial | 034 Last Visit: 18/11/2020 |
| Patient Name | Mrs. SHRABANI HAZRA | Contact No | 9163595215 |
| Address | 591 (4/1) RAM MOHAN SARANI, BAIDYABATI (M) | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||