Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00858 | Date 31/08/2018 |
| Token No | SM/18-19/1106 31/08/2018 | Serial | 020 Last Visit: 02/09/2021 |
| Patient Name | Mrs. NIRMALA MAITY | Contact No | 8335860750 |
| Address | 31 BHADURI LANE SERAMPORE | Age | 83 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 44 KG |
| Pulse Rate | 72 / min | Height | cm BMI: inf |
| Diagnosis | |||