Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01065 | Date 12/09/2018 |
| Token No | SM/18-19/1542 12/09/2018 | Serial | 008 Last Visit: 12/09/2018 |
| Patient Name | Mrs. SANKARI CHOWDHURY | Contact No | 9836556740 |
| Address | CHATRA CHOWDHURY PARA BY LANE | Age | 63.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 167/74 mmHg | Weight | 55 KG |
| Pulse Rate | 87 / min | Height | cm BMI: inf |
| Diagnosis | |||