Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07683 | Date 02/03/2020 |
| Token No | SM/21-22/566 19/04/2021 | Serial | 033 Last Visit: 22/04/2021 |
| Patient Name | Mrs. CHANDRA PATRA | Contact No | 8420864900 |
| Address | PAHALAMPUR , SINGUR | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||