Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01503 | Date 04/10/2018 |
| Token No | SM/18-19/2448 04/10/2018 | Serial | 046 Last Visit: 04/10/2018 |
| Patient Name | Mrs. MERUN NISA | Contact No | 7449430636 |
| Address | BAIDYABATI KAJIPA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||