Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01833 | Date 01/11/2018 |
| Token No | SM/18-19/3287 01/11/2018 | Serial | 036 Last Visit: 01/11/2018 |
| Patient Name | Mrs. MANJUSHREE BOSE | Contact No | 7980549641 |
| Address | 18 G RAJA K.L GOSWAMI STREET | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||