Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00011 | Date 01/08/2018 |
| Token No | SM/18-19/680 20/08/2018 | Serial | 024 Last Visit: 01/11/2024 |
| Patient Name | Mrs. TARA SAMUI | Contact No | |
| Address | P.N. MUKHERJEE STREET | Age | 51 Years,10 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 159/95 mmHg | Weight | 50 KG |
| Pulse Rate | 108 / min | Height | cm BMI: inf |
| Diagnosis | |||