Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00649 | Date 23/08/2018 |
| Token No | SM/18-19/780 23/08/2018 | Serial | 029 Last Visit: 23/08/2018 |
| Patient Name | Mrs. ZINAT JABIN | Contact No | 7449890744 |
| Address | 45, N.N ROY STREET SERAMPORE HOOGHLY | Age | 37.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/85 mmHg | Weight | 59 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||