Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03205 | Date 29/01/2019 |
| Token No | SM/18-19/7514 29/01/2019 | Serial | 007 Last Visit: 29/01/2019 |
| Patient Name | Mrs. MANJU SANTRA | Contact No | 9732560058 |
| Address | 13/C CHATRA CHOWDHURY PARA | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||