Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02451 | Date 10/12/2018 |
| Token No | SM/18-19/5003 10/12/2018 | Serial | 051 Last Visit: 10/12/2018 |
| Patient Name | Mrs. RAKHI DUTTA | Contact No | 9830823598 |
| Address | 33/1 CHATRA DUTTA PARA LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||