Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01449 | Date 01/10/2018 |
| Token No | SM/19-20/13724 21/11/2019 | Serial | 062 Last Visit: 16/12/2019 |
| Patient Name | Mrs. MOUSUMI DUTTA | Contact No | 8481868083 |
| Address | 80 BARUI PARA | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||