Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01614 | Date 11/10/2018 |
| Token No | SM/18-19/2740 11/10/2018 | Serial | 003 Last Visit: 11/10/2018 |
| Patient Name | Mrs. MAHERA BIBI | Contact No | 8777410144 |
| Address | 11, TIKIYA PARA , SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||