Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01574 | Date 09/10/2018 |
| Token No | SM/18-19/2630 09/10/2018 | Serial | 019 Last Visit: 09/10/2018 |
| Patient Name | Mrs. SIKHA DUTTA | Contact No | 9874281447 |
| Address | CHATRA SHITLATALA BAIDYABATI (M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||