Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01124 | Date 14/09/2018 |
| Token No | SM/18-19/1642 14/09/2018 | Serial | 008 Last Visit: 14/09/2018 |
| Patient Name | Mrs. RUMPA ROY | Contact No | 9830304219 |
| Address | 1/B/1 DR. P N MUKHARJEE STREET | Age | 39.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/74 mmHg | Weight | 61 KG |
| Pulse Rate | 87 / min | Height | cm BMI: inf |
| Diagnosis | |||