Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00503 | Date 17/08/2018 |
| Token No | SM/18-19/571 17/08/2018 | Serial | 009 Last Visit: 02/12/2019 |
| Patient Name | Mrs. BIJALI BHADRA | Contact No | 7686950910 |
| Address | MANIK GHOSER BAGAN , BAIDYABATI (M) | Age | 50 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 130/73 mmHg | Weight | 52 KG |
| Pulse Rate | 87 / min | Height | cm BMI: inf |
| Diagnosis | |||