Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05574 | Date 26/06/2019 |
| Token No | SM/19-20/6993 22/07/2019 | Serial | 011 Last Visit: 20/01/2020 |
| Patient Name | Mrs. ALOCHANA DAS | Contact No | 9062030419 |
| Address | 25A CHATRA DHARMATALA | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||