Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06071 | Date 06/08/2019 |
| Token No | SM/19-20/8038 06/08/2019 | Serial | 059 Last Visit: 06/08/2019 |
| Patient Name | Mrs. BIJJAYA ROY | Contact No | 9748715795 |
| Address | 7/A HANI PARA LANE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||