Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00658 | Date 23/08/2018 |
| Token No | SM/18-19/1070 30/08/2018 | Serial | 024 Last Visit: 13/09/2018 |
| Patient Name | Mrs. SARSWATI RAY | Contact No | |
| Address | 53, MUKHERJEE PARA SERAMPORE | Age | 60.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 106/62 mmHg | Weight | 45 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||