Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 00388 | Date 13/08/2018 |
| Token No | SM/21-22/2027 08/06/2021 | Serial | 029 Last Visit: 08/06/2021 |
| Patient Name | Mrs. NISHA ROY | Contact No | 9874754179 |
| Address | 3, L.B.S. ROAD | Age | 54.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||