Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03233 | Date 30/01/2019 |
| Token No | SM/18-19/7598 30/01/2019 | Serial | 028 Last Visit: 30/01/2019 |
| Patient Name | Mrs. LAKHI RANI RAM | Contact No | |
| Address | CHATRA BOU BAZAR,BAIDYABATY(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||