Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00210 | Date 07/08/2018 |
| Token No | SM/18-19/1260 05/09/2018 | Serial | 036 Last Visit: 09/10/2018 |
| Patient Name | Mrs. CHHANDA BHADURI | Contact No | 8582884129 |
| Address | 9/A CHAKRABORTY LANE SERAMPORE | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/73 mmHg | Weight | 47 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||