Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00905 | Date 04/09/2018 |
| Token No | SM/18-19/1200 04/09/2018 | Serial | 036 Last Visit: 04/09/2018 |
| Patient Name | Mrs. SOMA PAUL | Contact No | |
| Address | 17/E BAHIR SERAMPORE | Age | 26.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 137/113 mmHg | Weight | 38 KG |
| Pulse Rate | 69 / min | Height | cm BMI: inf |
| Diagnosis | |||