Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01033 | Date 11/09/2018 |
| Token No | SM/18-19/1483 11/09/2018 | Serial | 013 Last Visit: 24/12/2019 |
| Patient Name | Mrs. ANJURANI MONDAL | Contact No | 9088946707 |
| Address | 30A, CHAKRABORTY LANE, SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 158/89 mmHg | Weight | 61 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||