Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02914 | Date 09/01/2019 |
| Token No | SM/18-19/7663 31/01/2019 | Serial | 037 Last Visit: 09/04/2019 |
| Patient Name | Mrs. RINA PAL | Contact No | |
| Address | RISHRA,DOKKHIN PARA | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 180/100 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||