Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01243 | Date 20/09/2018 |
| Token No | SM/18-19/2583 06/10/2018 | Serial | 043 Last Visit: 06/10/2018 |
| Patient Name | Mrs. APARNA DEY | Contact No | 9062253439 |
| Address | 49 TETULTALA,MUKHARJEE PARA | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||