Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00742 | Date 27/08/2018 |
| Token No | SM/18-19/916 27/08/2018 | Serial | 049 Last Visit: 27/08/2018 |
| Patient Name | Mrs. NAMITA CHAKRABORTY | Contact No | 931399684 |
| Address | 41 K.M. BHATTACHARYA STREET | Age | 51.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||