Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08038 | Date 07/04/2020 |
| Token No | SM/21-22/2848 05/07/2021 | Serial | 032 Last Visit: 05/07/2021 |
| Patient Name | Mrs. NAMITA DUTTA | Contact No | 8481053789 |
| Address | BARO BELU BELUMILKI | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||