Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01660 | Date 13/10/2018 |
| Token No | SM/18-19/2865 13/10/2018 | Serial | 019 Last Visit: 13/10/2018 |
| Patient Name | Mrs. TAPASI MANNA | Contact No | 9831694815 |
| Address | 2 CHATRA BAZAR ROAD | Age | 53 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||