Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00681 | Date 24/08/2018 |
| Token No | SM/18-19/3243 31/10/2018 | Serial | 047 Last Visit: 31/10/2018 |
| Patient Name | Mrs. SANDHYA KARMAKAR | Contact No | 9057600060 |
| Address | 1B, CHATRA DUTTA PARA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 170/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||