Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00902 | Date 04/09/2018 |
| Token No | SM/18-19/1197 04/09/2018 | Serial | 033 Last Visit: 04/09/2018 |
| Patient Name | Mrs. BHAROTI GHOSH | Contact No | |
| Address | 67/B MUKHARJEE PARA LANE | Age | 45.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/84 mmHg | Weight | 66 KG |
| Pulse Rate | 77 / min | Height | cm BMI: inf |
| Diagnosis | |||