Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01743 | Date 29/10/2018 |
| Token No | SM/18-19/3072 29/10/2018 | Serial | 044 Last Visit: 27/02/2019 |
| Patient Name | Mrs. BULU BISWAS | Contact No | 9051507379 |
| Address | CHATRA GODER BAGAN, BAIDYABATI(M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 75.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||