Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02545 | Date 15/12/2018 |
| Token No | SM/18-19/5296 15/12/2018 | Serial | 028 Last Visit: 15/12/2018 |
| Patient Name | Mrs. SIKHA BHATTCHARJEE | Contact No | 9874180093 |
| Address | 33, P.N MUKHERJEE STREET | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||