Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01087 | Date 13/09/2018 |
| Token No | SM/19-20/5095 22/06/2019 | Serial | 056 Last Visit: 13/07/2019 |
| Patient Name | Mrs. ITE MUKHERJEE | Contact No | 7384536838 |
| Address | CHATRA BARUI PARA | Age | 53.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||