Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04313 | Date 20/03/2019 |
| Token No | SM/18-19/10925 20/03/2019 | Serial | 030 Last Visit: 20/03/2019 |
| Patient Name | Miss RIYA KHAN | Contact No | 8820301118 |
| Address | 29/D CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||