Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02456 | Date 11/12/2018 |
| Token No | SM/18-19/5025 11/12/2018 | Serial | 005 Last Visit: 11/12/2018 |
| Patient Name | Mrs. RANI SAHA | Contact No | |
| Address | TINBAZAR | Age | 46 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||