Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01016 | Date 10/09/2018 |
| Token No | SM/18-19/1433 10/09/2018 | Serial | 021 Last Visit: 10/09/2018 |
| Patient Name | Mrs. NAMITA CHATERJEE | Contact No | 8017284739 |
| Address | 10, P.N. MUKHERJEE STREET | Age | 24.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 97/63 mmHg | Weight | 49 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||