Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00146 | Date 06/08/2018 |
| Token No | SM/19-20/5697 01/07/2019 | Serial | 030 Last Visit: 22/08/2020 |
| Patient Name | Mrs. KARUNA DAS | Contact No | 9331072807 |
| Address | 36, BHADURI LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||