Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01761 | Date 29/10/2018 |
| Token No | SM/18-19/3123 29/10/2018 | Serial | 095 Last Visit: 29/10/2018 |
| Patient Name | Mrs. KAMLA BHADURI | Contact No | 8282810633 |
| Address | CHATRA BOU BAJAR, BAIDYABATI (M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||