Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04254 | Date 16/03/2019 |
| Token No | SM/18-19/10656 16/03/2019 | Serial | 038 Last Visit: 16/03/2019 |
| Patient Name | Mrs. SUNITI LAGA | Contact No | 9679772577 |
| Address | 13/2 CHATRA CHOWDHURY PARA SERAMPORE | Age | 85 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||