Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01469 | Date 03/10/2018 |
| Token No | SM/18-19/2354 03/10/2018 | Serial | 009 Last Visit: 10/10/2018 |
| Patient Name | Mrs. SWAPNA BANERJEE | Contact No | 8981843522 |
| Address | 11, CHTRA CHOWDHURY PARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||