Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01990 | Date 15/11/2018 |
| Token No | SM/18-19/4183 26/11/2018 | Serial | 056 Last Visit: 14/03/2020 |
| Patient Name | Miss SNIGDHA DUTTA | Contact No | 7686003350 |
| Address | CHATRA DUTTA PARA LANE | Age | 7 Y 8 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||