Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08924 | Date 02/11/2020 |
| Token No | SM/20-21/28932 31/12/2020 | Serial | 014 Last Visit: 31/12/2020 |
| Patient Name | Mrs. MINATI ROY | Contact No | 9088886353 |
| Address | TELIPARA CHATRA BAIDYABATI(M) | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||