Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04299 | Date 19/03/2019 |
| Token No | SM/18-19/10854 19/03/2019 | Serial | 047 Last Visit: 06/04/2019 |
| Patient Name | Mrs. ARATI MAJHI | Contact No | 9163178166 |
| Address | BARO BAGNA LANE , BAIDYABTI(M) | Age | 55 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||