Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03501 | Date 12/02/2019 |
| Token No | SM/18-19/8438 12/02/2019 | Serial | 042 Last Visit: 12/02/2019 |
| Patient Name | Mrs. TANUSHREE MONDAL | Contact No | 9836617042 |
| Address | 4 CHOWDHURY PARA LANE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 118/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||