Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00583 | Date 20/08/2018 |
| Token No | SM/18-19/802 23/08/2018 | Serial | 051 Last Visit: 08/03/2019 |
| Patient Name | Mrs. KAJAL ACHARYYA | Contact No | 8274982022 |
| Address | 3 BUROBIBI TALA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||