Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01218 | Date 19/09/2018 |
| Token No | SM/18-19/1816 19/09/2018 | Serial | 028 Last Visit: 19/09/2018 |
| Patient Name | Mrs. BIBHA BISWAS | Contact No | 8609658005 |
| Address | CHATRA MANIK GHOSER BAGAN, BAIDYABATI (M) | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||