Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01463 | Date 01/10/2018 |
| Token No | SM/18-19/2333 01/10/2018 | Serial | 053 Last Visit: 01/10/2018 |
| Patient Name | Mrs. BANYA PANDIT | Contact No | 9874750558 |
| Address | 13, ROY M.C LAHIRI BAHADUR STREET | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 91/57 mmHg | Weight | 40 KG |
| Pulse Rate | 88 / min | Height | cm BMI: inf |
| Diagnosis | |||