Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00924 | Date 05/09/2018 |
| Token No | SM/18-19/1247 05/09/2018 | Serial | 023 Last Visit: 17/01/2020 |
| Patient Name | Mrs. GULHAR BIBI | Contact No | 8017565445 |
| Address | 28 CHATRA MUSALMAN PARA, SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 174/81 mmHg | Weight | 50 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||