Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03511 | Date 12/02/2019 |
| Token No | SM/18-19/8464 12/02/2019 | Serial | 068 Last Visit: 12/02/2019 |
| Patient Name | Mrs. ANISHA BIBI | Contact No | 8420973277 |
| Address | 7D ARBINDA SARNI CHATRA KUMAR PARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||