Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02218 | Date 29/11/2018 |
| Token No | SM/18-19/4393 29/11/2018 | Serial | 054 Last Visit: 29/11/2018 |
| Patient Name | Mrs. BAISAKHI HALDER | Contact No | 7890526942 |
| Address | CHATRA BAGHER BAGAN | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||