Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02674 | Date 24/12/2018 |
| Token No | SM/19-20/2224 07/05/2019 | Serial | 005 Last Visit: 07/05/2019 |
| Patient Name | Mrs. BISHUNPRIYA CHOWDHURY | Contact No | 6291451557 |
| Address | CHATRA CHOWDHURY PARA BY LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||