Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01137 | Date 14/09/2018 |
| Token No | SM/18-19/1659 14/09/2018 | Serial | 025 Last Visit: 16/05/2025 |
| Patient Name | Mrs. SHILA BISWAS | Contact No | 9230129371 |
| Address | 19 ROY GHAT LANE | Age | 56 Years,4 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||