Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00470 | Date 16/08/2018 |
| Token No | SM/18-19/529 16/08/2018 | Serial | 017 Last Visit: 16/08/2018 |
| Patient Name | Mrs. SHILPI MUKHERJEE | Contact No | 9748236415 |
| Address | 16, CHATRA DHARMOTALA LANE | Age | 24.0 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 100/62 mmHg | Weight | 37 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||