Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01247 | Date 20/09/2018 |
| Token No | SM/18-19/1877 20/09/2018 | Serial | 028 Last Visit: 20/09/2018 |
| Patient Name | Mrs. ARCHANA BHUMIK | Contact No | |
| Address | 2/S A K C BHATTACHRAYA STREET | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||