Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00718 | Date 27/08/2018 |
| Token No | SM/18-19/2344 01/10/2018 | Serial | 064 Last Visit: 12/03/2020 |
| Patient Name | Mrs. SOBHA LAHA | Contact No | 7890459206 |
| Address | 130/E CHATRA, BARUIPARA | Age | 65 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||