Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01082 | Date 12/09/2018 |
| Token No | SM/18-19/1571 12/09/2018 | Serial | 037 Last Visit: 12/09/2018 |
| Patient Name | Mrs. PRITI MUKHERJEE | Contact No | 9748763129 |
| Address | P.N.MUKHERJEE STREET | Age | 20.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 104/58 mmHg | Weight | 44 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||