Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00428 | Date 14/08/2018 |
| Token No | SM/18-19/789 23/08/2018 | Serial | 038 Last Visit: 23/08/2018 |
| Patient Name | Miss PAMPA BHATTACHARJEE | Contact No | 8918628859 |
| Address | 15A, BHADURI PARA | Age | 27.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||