Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09260 | Date 02/03/2021 |
| Token No | SM/20-21/30250 02/03/2021 | Serial | 013 Last Visit: 02/03/2021 |
| Patient Name | Mrs. REKHA SAMANTA | Contact No | 9830692732 |
| Address | 135 RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||