Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01558 | Date 06/10/2018 |
| Token No | SM/18-19/2595 06/10/2018 | Serial | 055 Last Visit: 20/06/2020 |
| Patient Name | Mrs. SAKILA KHATUN | Contact No | 9339742590 |
| Address | 47, N.N RAY STREET SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 152/93 mmHg | Weight | 58.5 KG |
| Pulse Rate | 122 / min | Height | cm BMI: inf |
| Diagnosis | |||