Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00795 | Date 28/08/2018 |
| Token No | SM/18-19/992 28/08/2018 | Serial | 062 Last Visit: 28/08/2018 |
| Patient Name | Mrs. NAMRATA DAS | Contact No | 9903211587 |
| Address | BAIDYABATI | Age | 28.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||