Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01314 | Date 24/09/2018 |
| Token No | SM/19-20/4076 06/06/2019 | Serial | 052 Last Visit: 06/06/2019 |
| Patient Name | Mrs. REKHA DAS | Contact No | 8981868177 |
| Address | CHATRA DAS PARA , BAIDYABATI (M) | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||