Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01132 | Date 14/09/2018 |
| Token No | SM/18-19/1652 14/09/2018 | Serial | 018 Last Visit: 14/09/2018 |
| Patient Name | Mrs. SIMA MONDAL | Contact No | 9088423094 |
| Address | MANIK GHOSER BAGAN , BAIDYABATI (M) | Age | 60.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/80 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||