Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00592 | Date 20/08/2018 |
| Token No | SM/18-19/699 20/08/2018 | Serial | 043 Last Visit: 16/09/2019 |
| Patient Name | Mrs. DIPA SAHA | Contact No | 9836755606 |
| Address | 35/A B B GHOSH ROAD PROBASNAGAR SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/68 mmHg | Weight | 46 KG |
| Pulse Rate | 94 / min | Height | cm BMI: inf |
| Diagnosis | |||