Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00140 | Date 06/08/2018 |
| Token No | SM/18-19/144 06/08/2018 | Serial | 005 Last Visit: 20/06/2019 |
| Patient Name | Mrs. SIKHA BHATTACHARJEE | Contact No | 9874180093 |
| Address | 33 DR. P. N. MUKHERJEE STREET | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||