Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04119 | Date 09/03/2019 |
| Token No | SM/18-19/10255 09/03/2019 | Serial | 046 Last Visit: 09/03/2019 |
| Patient Name | Mrs. DOLLY KANRAR | Contact No | 9836458470 |
| Address | 2/B CHATRA CHOWDHURY PARA | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||