Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00486 | Date 16/08/2018 |
| Token No | SM/18-19/2013 24/09/2018 | Serial | 072 Last Visit: 29/09/2018 |
| Patient Name | Mrs. KAMLA SHAW | Contact No | 9804209506 |
| Address | 10, M.G ROAD SERAMPORE | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 108/71 mmHg | Weight | 65 KG |
| Pulse Rate | 96 / min | Height | cm BMI: inf |
| Diagnosis | |||