Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02313 | Date 03/12/2018 |
| Token No | SM/18-19/4607 03/12/2018 | Serial | 073 Last Visit: 28/10/2020 |
| Patient Name | Miss PRIYANKA DUTTA | Contact No | 9874713637 |
| Address | 67/B CHATRA BARUI PARA LANE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||