Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02240 | Date 30/11/2018 |
| Token No | SM/18-19/4440 30/11/2018 | Serial | 029 Last Visit: 30/11/2018 |
| Patient Name | Mrs. SHIBANI BAG | Contact No | 9163331232 |
| Address | CHATRA CHOWDHURY PARA | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||