Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00957 | Date 06/09/2018 |
| Token No | SM/18-19/1309 06/09/2018 | Serial | 034 Last Visit: 22/01/2019 |
| Patient Name | Mrs. ANJANA DAS | Contact No | 9903198955 |
| Address | 68 MUKHARJEE PARA ,SERAMPORE | Age | 33.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/75 mmHg | Weight | 74 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||