Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03822 | Date 23/02/2019 |
| Token No | SM/18-19/9335 23/02/2019 | Serial | 021 Last Visit: 23/02/2019 |
| Patient Name | Mrs. SUMITRA DEBI | Contact No | |
| Address | MALLICK PARA | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||