Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01032 | Date 11/09/2018 |
| Token No | SM/19-20/21492 23/04/2020 | Serial | 039 Last Visit: 09/09/2020 |
| Patient Name | Mrs. SAMPA CHATERJEE | Contact No | 8017087606 |
| Address | 32/D CHOWDHURY PARA BY LANE CHATRA | Age | 34.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||