Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06155 | Date 19/08/2019 |
| Token No | SM/19-20/10850 21/09/2019 | Serial | 059 Last Visit: 01/10/2019 |
| Patient Name | Mrs. KAMARUN NISHA | Contact No | 7278161258 |
| Address | 88 ,MALLICK PARA,MIYA JON DORJI LANE | Age | 95 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||