Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00023 | Date 01/08/2018 |
| Token No | SM/18-19/2014 24/09/2018 | Serial | 073 Last Visit: 31/12/2018 |
| Patient Name | Mrs. JAYA KARMAKAR | Contact No | 9674118254 |
| Address | 24 THAKURDAS BABU LANE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 132/76 mmHg | Weight | 37 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||