Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03269 | Date 31/01/2019 |
| Token No | SM/18-19/7721 31/01/2019 | Serial | 095 Last Visit: 31/01/2019 |
| Patient Name | Mrs. RANU SARKER | Contact No | |
| Address | RAJJADHARPUR, | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||