Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00357 | Date 11/08/2018 |
| Token No | SM/18-19/387 11/08/2018 | Serial | 019 Last Visit: 26/11/2020 |
| Patient Name | Mrs. MALATI MANNA | Contact No | 9836997803 |
| Address | 79 N.S. AVENUE, SERAMPORE | Age | 59.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 195/81 mmHg | Weight | 61 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||