Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02440 | Date 10/12/2018 |
| Token No | SM/18-19/4976 10/12/2018 | Serial | 024 Last Visit: 10/12/2018 |
| Patient Name | Mrs. SIKHA BENERJEE | Contact No | |
| Address | CHATRA GHOSH PARA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||