Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02516 | Date 13/12/2018 |
| Token No | SM/18-19/5208 13/12/2018 | Serial | 055 Last Visit: 20/08/2019 |
| Patient Name | Mrs. PAMPA SAHA | Contact No | 7890220127 |
| Address | 19 F VIVEKANANDA LANE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 134/84 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||