Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02659 | Date 22/12/2018 |
| Token No | SM/18-19/7148 21/01/2019 | Serial | 016 Last Visit: 03/09/2019 |
| Patient Name | Mrs. NAJMA KHATUN | Contact No | 9088826738 |
| Address | 44 RAY GHAT LANE SERMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||