Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01824 | Date 01/11/2018 |
| Token No | SM/18-19/3275 01/11/2018 | Serial | 024 Last Visit: 01/11/2018 |
| Patient Name | Mrs. ASHA DEBI | Contact No | 9162373638 |
| Address | 1, AUDDY LANE SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 53 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||