Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00033 | Date 01/08/2018 |
| Token No | SM/18-19/33 01/08/2018 | Serial | 033 Last Visit: 01/08/2018 |
| Patient Name | Mrs. SHRITIKANA CHOWDHURY | Contact No | |
| Address | CHOWDHURY PARA BYE LANE | Age | 56 Years,9 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 101/54 mmHg | Weight | 52 KG |
| Pulse Rate | 70 / min | Height | cm BMI: inf |
| Diagnosis | |||