Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02895 | Date 08/01/2019 |
| Token No | SM/18-19/6478 08/01/2019 | Serial | 032 Last Visit: 08/01/2019 |
| Patient Name | Mrs. ANJANA BENERJEE | Contact No | |
| Address | 1 CHATRA DHARMA TALA LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||