Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02812 | Date 04/01/2019 |
| Token No | SM/18-19/6224 04/01/2019 | Serial | 009 Last Visit: 04/01/2019 |
| Patient Name | Mrs. DIPALI BAGCHI | Contact No | 9836533510 |
| Address | P.N MUKHERJEE STREET | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||