Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01865 | Date 02/11/2018 |
| Token No | SM/18-19/3669 14/11/2018 | Serial | 058 Last Visit: 14/11/2018 |
| Patient Name | Mrs. DEBORSHREE MUKHERJEE | Contact No | 8017553844 |
| Address | 18, BHADURI PARA LANE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 88 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||