Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00273 | Date 09/08/2018 |
| Token No | SM/18-19/296 09/08/2018 | Serial | 027 Last Visit: 09/08/2018 |
| Patient Name | Mrs. BABY GUIN | Contact No | 9836048598 |
| Address | 14J DUTTA'S LANE SERAMPORE | Age | 45.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 134/85 mmHg | Weight | 56 KG |
| Pulse Rate | 98 / min | Height | cm BMI: inf |
| Diagnosis | |||