Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02028 | Date 19/11/2018 |
| Token No | SM/22-23/11439 05/04/2022 | Serial | 047 Last Visit: 05/04/2022 |
| Patient Name | Mrs. BABY DAS | Contact No | |
| Address | CHATRA DHARMOTALA | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||