Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04370 | Date 25/03/2019 |
| Token No | SM/19-20/15717 21/12/2019 | Serial | 025 Last Visit: 21/12/2019 |
| Patient Name | Mrs. SONALI CHOWDHURY | Contact No | 8013933382 |
| Address | BOROBELUR,MAKALTALA | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||