Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00974 | Date 07/09/2018 |
| Token No | SM/18-19/1343 07/09/2018 | Serial | 015 Last Visit: 07/09/2018 |
| Patient Name | Mrs. DIPALI MITRO | Contact No | |
| Address | CHATRA MUKHARJEE PARA | Age | 60.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 207/120 mmHg | Weight | KG |
| Pulse Rate | 110 / min | Height | cm BMI: nan |
| Diagnosis | |||