Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00657 | Date 23/08/2018 |
| Token No | SM/18-19/797 23/08/2018 | Serial | 046 Last Visit: 06/09/2018 |
| Patient Name | Mrs. KANCHAN PATUA | Contact No | 9230285028 |
| Address | 61, MUKHERJEE PARA SERAMPORE | Age | 32.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 111/67 mmHg | Weight | 85 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||