Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01152 | Date 15/09/2018 |
| Token No | SM/18-19/1688 15/09/2018 | Serial | 008 Last Visit: 15/09/2018 |
| Patient Name | Mrs. JAYANTI MAJUMDAR | Contact No | 7278439698 |
| Address | NABOGRAM GHOSAL PARA | Age | 60.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 35.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||