Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00973 | Date 07/09/2018 |
| Token No | SM/18-19/1341 07/09/2018 | Serial | 013 Last Visit: 12/04/2019 |
| Patient Name | Mrs. PINKY SARKAR | Contact No | 8013175966 |
| Address | 32, BARAL BAGAN LANE SERAMPORE | Age | 28.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/48 mmHg | Weight | 41.5 KG |
| Pulse Rate | 70 / min | Height | cm BMI: inf |
| Diagnosis | |||