Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01306 | Date 24/09/2018 |
| Token No | SM/18-19/1994 24/09/2018 | Serial | 053 Last Visit: 24/09/2018 |
| Patient Name | Mrs. MADHUMITA MONDAL | Contact No | 9123993214 |
| Address | CHATRA BAGER BAGAN | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||