Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06491 | Date 21/09/2019 |
| Token No | SM/19-20/15823 24/12/2019 | Serial | 016 Last Visit: 24/12/2019 |
| Patient Name | Mrs. RINKU PAUL | Contact No | 9143631376 |
| Address | 101 A P GHOSH ROAD | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||