Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04077 | Date 08/03/2019 |
| Token No | SM/18-19/10114 08/03/2019 | Serial | 005 Last Visit: 08/04/2019 |
| Patient Name | Mrs. KRIASHNA SOM | Contact No | 9231661572 |
| Address | 17 C CHATRA DUTTE\\\\\\\'S LANE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||