Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02216 | Date 29/11/2018 |
| Token No | SM/18-19/4387 29/11/2018 | Serial | 048 Last Visit: 29/11/2018 |
| Patient Name | Mrs. BANDANA DAS | Contact No | 9830862479 |
| Address | CHANDAN NAGAR (M) | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||