Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01498 | Date 04/10/2018 |
| Token No | SM/19-20/20681 03/04/2020 | Serial | 012 Last Visit: 09/04/2021 |
| Patient Name | Mrs. MANA HALDER | Contact No | 8478035086 |
| Address | CHATRA BARUI PARA LANE, SHIB TALA | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||