Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01034 | Date 11/09/2018 |
| Token No | SM/18-19/1485 11/09/2018 | Serial | 015 Last Visit: 16/12/2019 |
| Patient Name | Mrs. SARMISTHA DAS | Contact No | 8777856931 |
| Address | 6, P.N MUKHERJEE STREET | Age | 34.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 162/108 mmHg | Weight | 82 KG |
| Pulse Rate | 124 / min | Height | cm BMI: inf |
| Diagnosis | |||