Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02480 | Date 12/12/2018 |
| Token No | SM/18-19/5121 12/12/2018 | Serial | 035 Last Visit: 28/06/2022 |
| Patient Name | Mrs. ARATI SHAW | Contact No | 9038155274 |
| Address | 29 K M BHATTACHARJEE STREET | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | 158/94 / min | Height | cm BMI: inf |
| Diagnosis | |||