Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00878 | Date 01/09/2018 |
| Token No | SM/18-19/1144 01/09/2018 | Serial | 018 Last Visit: 01/09/2018 |
| Patient Name | Mrs. PHALGUNI BANERJEE | Contact No | 9477360743 |
| Address | 12B CHATRA DUTTAES LANE | Age | 37.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 116/83 mmHg | Weight | 62 KG |
| Pulse Rate | 92 / min | Height | cm BMI: inf |
| Diagnosis | |||