Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01351 | Date 26/09/2018 |
| Token No | SM/18-19/2091 26/09/2018 | Serial | 020 Last Visit: 26/09/2018 |
| Patient Name | Mrs. SABITA CHATERJEE | Contact No | 9804058332 |
| Address | 1/D CHATRA DUTTA PARA | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||