Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01372 | Date 27/09/2018 |
| Token No | SM/18-19/2137 27/09/2018 | Serial | 018 Last Visit: 01/10/2018 |
| Patient Name | Mrs. BELA RANI DUTTA | Contact No | 9432233417 |
| Address | 12, RABINDRA BHAWAN SARANI | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/73 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||