Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02769 | Date 31/12/2018 |
| Token No | SM/18-19/8348 08/02/2019 | Serial | 074 Last Visit: 09/02/2019 |
| Patient Name | Mrs. INDERA DEBI | Contact No | 7980165692 |
| Address | 39 N N ROY STREET | Age | 48 YTS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||