Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04638 | Date 09/04/2019 |
| Token No | SM/19-20/555 09/04/2019 | Serial | 009 Last Visit: 10/04/2019 |
| Patient Name | Mrs. ANJU MAN NISHA | Contact No | 6291788562 |
| Address | 5/B GOPINATH SAHA STREET | Age | 30 Y Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 130/84 mmHg | Weight | 87 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||