Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01379 | Date 27/09/2018 |
| Token No | SM/18-19/2145 27/09/2018 | Serial | 026 Last Visit: 27/09/2018 |
| Patient Name | Mrs. SWAPNA DUTTA | Contact No | 9339164162 |
| Address | 3L CHATRA DUTTA PARA LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||