Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00597 | Date 21/08/2018 |
| Token No | SM/18-19/10008 07/03/2019 | Serial | 011 Last Visit: 27/11/2019 |
| Patient Name | Mrs. DOLLY PANDIT | Contact No | 9836038798 |
| Address | 13, CHTARA LAHIRI STREET | Age | 38.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||