Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01378 | Date 27/09/2018 |
| Token No | SM/18-19/2144 27/09/2018 | Serial | 025 Last Visit: 27/09/2018 |
| Patient Name | Mrs. MALATI KUNDU | Contact No | 9339164162 |
| Address | 3L CHATRA DUTTA PARA | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 32.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||