Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01087 | Date 13/09/2018 |
| Token No | SM/18-19/1581 13/09/2018 | Serial | 004 Last Visit: 13/07/2019 |
| Patient Name | Mrs. ITE MUKHERJEE | Contact No | 7384536838 |
| Address | CHATRA BARUI PARA | Age | 53.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 85/67 mmHg | Weight | 63.5 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||