Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02770 | Date 31/12/2018 |
| Token No | SM/18-19/6080 31/12/2018 | Serial | 079 Last Visit: 31/12/2018 |
| Patient Name | Mrs. SOVA BHATTACHERJEE | Contact No | 9674307185 |
| Address | SERAMPORE KOLONI | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||