Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03208 | Date 29/01/2019 |
| Token No | SM/18-19/7525 29/01/2019 | Serial | 018 Last Visit: 13/02/2019 |
| Patient Name | Mrs. TINKU DAS | Contact No | 9830785432 |
| Address | CHATRA DUTTA PARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||