Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00223 | Date 07/08/2018 |
| Token No | SM/18-19/232 07/08/2018 | Serial | 005 Last Visit: 07/08/2018 |
| Patient Name | Mrs. SARBANI BHADURI | Contact No | |
| Address | 19, LAHIRI PARA | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||