Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01014 | Date 10/09/2018 |
| Token No | SM/18-19/1428 10/09/2018 | Serial | 016 Last Visit: 24/09/2018 |
| Patient Name | Mrs. SEFALI ADHIKARY | Contact No | |
| Address | 15, RAJA K.L GOSWAMI STREET | Age | 70.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 139/80 mmHg | Weight | 62 KG |
| Pulse Rate | 98 / min | Height | cm BMI: inf |
| Diagnosis | |||