Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03421 | Date 07/02/2019 |
| Token No | SM/18-19/8192 07/02/2019 | Serial | 019 Last Visit: 07/02/2019 |
| Patient Name | Miss APARNA CHATTERJEE | Contact No | 8479012965 |
| Address | 18 CHOWDHURY PARA LANE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||