Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01027 | Date 10/09/2018 |
| Token No | SM/18-19/1464 10/09/2018 | Serial | 052 Last Visit: 10/09/2018 |
| Patient Name | Mrs. BIDISHA LAHA | Contact No | 7044016574 |
| Address | 13A CHATRA DUTTA PARA | Age | 17.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||