Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02674 | Date 24/12/2018 |
| Token No | SM/18-19/8577 13/02/2019 | Serial | 044 Last Visit: 07/05/2019 |
| Patient Name | Mrs. BISHUNPRIYA CHOWDHURY | Contact No | 6291451557 |
| Address | CHATRA CHOWDHURY PARA BY LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||