Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05432 | Date 14/06/2019 |
| Token No | SM/19-20/4567 14/06/2019 | Serial | 042 Last Visit: 14/06/2019 |
| Patient Name | Mrs. RITA BAG | Contact No | 9836647132 |
| Address | TARAPUKUR | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||