Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00091 | Date 03/08/2018 |
| Token No | SM/18-19/2444 04/10/2018 | Serial | 042 Last Visit: 04/10/2018 |
| Patient Name | Mrs. BELA HAZRA | Contact No | 8697165515 |
| Address | 27/A P.N MUKHERJEE ST | Age | 68.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||