Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02256 | Date 01/12/2018 |
| Token No | SM/18-19/4479 01/12/2018 | Serial | 006 Last Visit: 01/12/2018 |
| Patient Name | Mrs. SUNANDA HALDAR | Contact No | |
| Address | CHATRA BAGER BAGAN , BAIDYABATI (M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 146/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||