Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 01648 | Date 12/10/2018 |
| Token No | SM/18-19/2823 12/10/2018 | Serial | 030 Last Visit: 12/10/2018 |
| Patient Name | Mrs. SHIPRA CHATERJEE | Contact No | 9192232343 |
| Address | LAHANEGAR KOLONI | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||