Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04293 | Date 19/03/2019 |
| Token No | SM/18-19/11152 25/03/2019 | Serial | 072 Last Visit: 09/04/2019 |
| Patient Name | Mrs. ARATI BENERJEE | Contact No | 9051488324 |
| Address | 21CHATRA,CHOWDHURY PARA | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 146/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||