Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03229 | Date 30/01/2019 |
| Token No | SM/18-19/8649 14/02/2019 | Serial | 014 Last Visit: 24/12/2020 |
| Patient Name | Mrs. MIRA DEY | Contact No | 9831036720 |
| Address | 12 BENEPARA, | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||