Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01476 | Date 03/10/2018 |
| Token No | SM/18-19/2377 03/10/2018 | Serial | 032 Last Visit: 03/10/2018 |
| Patient Name | Mrs. SAHJAHAN BIBI | Contact No | 9903128141 |
| Address | 10, T.C GOSWAMI STREET | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||