Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02248 | Date 30/11/2018 |
| Token No | SM/18-19/4461 30/11/2018 | Serial | 050 Last Visit: 30/11/2018 |
| Patient Name | Mrs. CHANDA CHOWDHURY | Contact No | |
| Address | CHATRA MANNA PARA,BAIDAYBATY(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||