Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01068 | Date 12/09/2018 |
| Token No | SM/18-19/1552 12/09/2018 | Serial | 018 Last Visit: 12/09/2018 |
| Patient Name | Mrs. MITALI CHATTARJEE | Contact No | 9836983516 |
| Address | CHATRA GORGORI GHAT | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 135/69 mmHg | Weight | 40 KG |
| Pulse Rate | 108 / min | Height | cm BMI: inf |
| Diagnosis | |||