Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00590 | Date 20/08/2018 |
| Token No | SM/19-20/7447 27/07/2019 | Serial | 059 Last Visit: 27/07/2019 |
| Patient Name | Mrs. PURNIMA SAHANA | Contact No | |
| Address | GOPAL NAGAR SINGUR | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||