Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00844 | Date 30/08/2018 |
| Token No | SM/18-19/1072 30/08/2018 | Serial | 026 Last Visit: 30/08/2018 |
| Patient Name | Mrs. MAYA SETH | Contact No | |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI (M) | Age | 44.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/66 mmHg | Weight | 45 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||