Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04218 | Date 15/03/2019 |
| Token No | SM/18-19/10560 15/03/2019 | Serial | 053 Last Visit: 15/03/2019 |
| Patient Name | Mrs. MALATI SHIT | Contact No | 8961697624 |
| Address | 3/A2 B.L MUKHERJEE LANE RISHRA(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||