Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04614 | Date 08/04/2019 |
| Token No | SM/19-20/484 08/04/2019 | Serial | 048 Last Visit: 08/04/2019 |
| Patient Name | Mrs. SANTONA SOM | Contact No | |
| Address | 17 CHATRA DUTTES LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 136/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||