Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00977 | Date 07/09/2018 |
| Token No | SM/18-19/1347 07/09/2018 | Serial | 019 Last Visit: 15/01/2019 |
| Patient Name | Mrs. BEAUTY PANJA | Contact No | 9903187392 |
| Address | 5 P N MUKHARJEE STREET | Age | 36.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/84 mmHg | Weight | 82 KG |
| Pulse Rate | 61 / min | Height | cm BMI: inf |
| Diagnosis | |||