Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02932 | Date 09/01/2019 |
| Token No | SM/18-19/6571 09/01/2019 | Serial | 060 Last Visit: 09/01/2019 |
| Patient Name | Mrs. SUMITA NUG | Contact No | |
| Address | 3 CHATRA DUTTES LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||