Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07872 | Date 20/03/2020 |
| Token No | SM/19-20/20023 20/03/2020 | Serial | 060 Last Visit: 20/03/2020 |
| Patient Name | Mrs. RUBI GHOSH | Contact No | 9875517669 |
| Address | 51/A/2 THAKUR DAS BABU LANE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||