Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00261 | Date 09/08/2018 |
| Token No | SM/18-19/1223 04/09/2018 | Serial | 059 Last Visit: 08/01/2019 |
| Patient Name | Mrs. REKHA DEVI | Contact No | 8017600813 |
| Address | 79/K N.N ROY STREET, SERAMPORE | Age | 50 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | 106/51 mmHg | Weight | 48 KG |
| Pulse Rate | 75 / min | Height | cm BMI: inf |
| Diagnosis | |||