Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02819 | Date 04/01/2019 |
| Token No | SM/18-19/6255 04/01/2019 | Serial | 040 Last Visit: 02/02/2019 |
| Patient Name | Mrs. KAJAL DEBI | Contact No | |
| Address | 10 ROY GHAT LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||