Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02958 | Date 11/01/2019 |
| Token No | SM/18-19/6661 11/01/2019 | Serial | 018 Last Visit: 11/01/2019 |
| Patient Name | Mrs. KABITA BANERJEE | Contact No | |
| Address | CHATRA MANNA PARA , BAIDYABATI(M) | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/94 mmHg | Weight | 62.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||