Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01606 | Date 10/10/2018 |
| Token No | SM/18-19/2712 10/10/2018 | Serial | 037 Last Visit: 17/01/2020 |
| Patient Name | Mrs. SAMINA WARSI | Contact No | 8100601484 |
| Address | KAJIPARA BAIDYABATI(M) | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 163/106 mmHg | Weight | 69 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||