Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00939 | Date 05/09/2018 |
| Token No | SM/18-19/1275 05/09/2018 | Serial | 051 Last Visit: 05/09/2018 |
| Patient Name | Mrs. RINA SARKER | Contact No | 9874775837 |
| Address | 21 ROY GHAT LANE | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||