Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00696 | Date 25/08/2018 |
| Token No | SM/18-19/855 25/08/2018 | Serial | 024 Last Visit: 25/08/2018 |
| Patient Name | Mrs. TANUSHREE BAG | Contact No | |
| Address | 17B, CHATRA DUTTA PARA | Age | 30.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||