Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04083 | Date 08/03/2019 |
| Token No | SM/18-19/10135 08/03/2019 | Serial | 026 Last Visit: 27/08/2022 |
| Patient Name | Mrs. SADHANA MUKHERJEE | Contact No | 8100205210 |
| Address | G.T ROAD MARADAN, BAIDYABATI(M) | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 170/90 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||