Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00934 | Date 05/09/2018 |
| Token No | SM/18-19/1266 05/09/2018 | Serial | 042 Last Visit: 05/09/2018 |
| Patient Name | Mrs. RITA SARKAR | Contact No | 9874775837 |
| Address | 21 RAY GHAT LANE SERAMPORE | Age | 80.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 146/83 mmHg | Weight | 66.5 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||