Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00217 | Date 07/08/2018 |
| Token No | SM/18-19/6172 03/01/2019 | Serial | 009 Last Visit: 22/12/2021 |
| Patient Name | Mrs. MUNNA DAS | Contact No | 9163163018 |
| Address | 7 P.N MUKHARJEE STREET | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||