Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01803 | Date 31/10/2018 |
| Token No | SM/18-19/3234 31/10/2018 | Serial | 038 Last Visit: 31/10/2018 |
| Patient Name | Mrs. MONGALA ROUTH | Contact No | 8927361484 |
| Address | SANTOSHPUR TARAKESWAR HOOGHLY | Age | 75 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||