Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02337 | Date 04/12/2018 |
| Token No | SM/18-19/10198 08/03/2019 | Serial | 089 Last Visit: 27/11/2019 |
| Patient Name | Mrs. RUNA DEBI | Contact No | |
| Address | M G ROAD,ROY GHAT | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||