Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01555 | Date 06/10/2018 |
| Token No | SM/18-19/2589 06/10/2018 | Serial | 049 Last Visit: 06/10/2018 |
| Patient Name | Mrs. ABHA MONDAL | Contact No | |
| Address | 6/12 CHATRA MANNA PARA , BAIDYABATI (M) | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 172/85 mmHg | Weight | 61 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||