Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01022 | Date 10/09/2018 |
| Token No | SM/18-19/1450 10/09/2018 | Serial | 038 Last Visit: 10/09/2018 |
| Patient Name | Mrs. RAKHI RAJBHAR | Contact No | 8961338440 |
| Address | 3 BAZAR BY LANE,SERAMPORE | Age | 24.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 102/64 mmHg | Weight | 55 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||