Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01610 | Date 10/10/2018 |
| Token No | SM/18-19/2720 10/10/2018 | Serial | 045 Last Visit: 10/10/2018 |
| Patient Name | Mrs. SAIRA KHATUN | Contact No | 9674608250 |
| Address | 48, N.N RAY STREET SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 104/69 mmHg | Weight | 50 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||