Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05069 | Date 11/05/2019 |
| Token No | SM/19-20/3045 20/05/2019 | Serial | 093 Last Visit: 20/05/2019 |
| Patient Name | Mrs. RAJMONI DEBI | Contact No | 8009074409 |
| Address | 13 DR. P N MUKHERJEE STREET | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||