Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01127 | Date 14/09/2018 |
| Token No | SM/18-19/1646 14/09/2018 | Serial | 012 Last Visit: 14/09/2018 |
| Patient Name | Mrs. RADHARANI HALDER | Contact No | 9748244399 |
| Address | 189/82 TELI PARA, BAGHER BAGAN | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 180/95 mmHg | Weight | 49 KG |
| Pulse Rate | 124 / min | Height | cm BMI: inf |
| Diagnosis | |||