Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01486 | Date 03/10/2018 |
| Token No | SM/18-19/2399 03/10/2018 | Serial | 054 Last Visit: 03/10/2018 |
| Patient Name | Mrs. NISHA DEBNATH | Contact No | 9674979392 |
| Address | RAJAYADHAR PUR | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||