Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01046 | Date 11/09/2018 |
| Token No | SM/18-19/1505 11/09/2018 | Serial | 035 Last Visit: 11/09/2018 |
| Patient Name | Mrs. ALPAN KUNDU | Contact No | |
| Address | TELI PARA CHATRA BAIDYABATI (M) | Age | 35.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/77 mmHg | Weight | 58.5 KG |
| Pulse Rate | 74 / min | Height | cm BMI: inf |
| Diagnosis | |||