Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02232 | Date 30/11/2018 |
| Token No | SM/19-20/19358 11/03/2020 | Serial | 021 Last Visit: 11/03/2020 |
| Patient Name | Mrs. KABITA DAS | Contact No | 8910077016 |
| Address | 36A CHATRA DUTTA PARA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||