Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06506 | Date 23/09/2019 |
| Token No | SM/19-20/11509 04/10/2019 | Serial | 003 Last Visit: 10/02/2020 |
| Patient Name | Mrs. LAKSHMI KUNDU | Contact No | 9007884811 |
| Address | 9/B BHADURI PARA LANE,CHATRA | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||