Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00880 | Date 01/09/2018 |
| Token No | SM/18-19/1305 06/09/2018 | Serial | 030 Last Visit: 06/09/2018 |
| Patient Name | Mrs. SANDHYA KUNDU | Contact No | 9830858761 |
| Address | CHATRA LANKARBAGAN | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||