Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01242 | Date 20/09/2018 |
| Token No | SM/18-19/2460 04/10/2018 | Serial | 058 Last Visit: 04/10/2018 |
| Patient Name | Mrs. MALA DEY | Contact No | 9062253439 |
| Address | 49,TETUL TALA | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||