Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03163 | Date 24/01/2019 |
| Token No | SM/18-19/10140 08/03/2019 | Serial | 031 Last Visit: 08/03/2019 |
| Patient Name | Mrs. MOUSUMI MONDAL | Contact No | 9836666228 |
| Address | 1/1 CHATRA DUTTA PARA | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 62.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||