Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00216 | Date 07/08/2018 |
| Token No | SM/18-19/595 17/08/2018 | Serial | 033 Last Visit: 11/09/2018 |
| Patient Name | Mrs. KRISHNA SEN | Contact No | |
| Address | 7 P.N MUKHARJEE STREET | Age | 47.0 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||