Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01402 | Date 28/09/2018 |
| Token No | SM/18-19/2194 28/09/2018 | Serial | 023 Last Visit: 28/09/2018 |
| Patient Name | Mrs. SUROJIT KUNDU | Contact No | 6290452018 |
| Address | 12/A DR, T.P BHATCHARJEE STREET | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||