Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00203 | Date 07/08/2018 |
| Token No | SM/18-19/211 07/08/2018 | Serial | 026 Last Visit: 07/08/2018 |
| Patient Name | Mrs. ARATI GHOSH | Contact No | 9051125291 |
| Address | 9, CHURCH STREET | Age | 60.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||