Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01354 | Date 26/09/2018 |
| Token No | SM/18-19/10055 07/03/2019 | Serial | 058 Last Visit: 07/03/2019 |
| Patient Name | Mrs. MANJU THAKUR | Contact No | 9874044874 |
| Address | 12D DR. P N MUKHARJEE STREET | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||