Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02241 | Date 30/11/2018 |
| Token No | SM/18-19/4443 30/11/2018 | Serial | 032 Last Visit: 30/11/2018 |
| Patient Name | Mrs. JUHI GHOSH | Contact No | 9874759311 |
| Address | CHATRA GHOSH PARA | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||