Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03801 | Date 22/02/2019 |
| Token No | SM/18-19/9284 22/02/2019 | Serial | 061 Last Visit: 13/05/2019 |
| Patient Name | Mrs. DIPA GHOSH | Contact No | 9674287939 |
| Address | 32 BHADURI LANE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||