Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01239 | Date 20/09/2018 |
| Token No | SM/18-19/1859 20/09/2018 | Serial | 010 Last Visit: 20/09/2018 |
| Patient Name | Mrs. SATABDI CHOWDHURY | Contact No | 8420837109 |
| Address | LEHIRI PARA CHATRA | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||