Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00679 | Date 24/08/2018 |
| Token No | SM/18-19/828 24/08/2018 | Serial | 026 Last Visit: 24/08/2018 |
| Patient Name | Mrs. SOMA DAS | Contact No | |
| Address | GOBINDAPUR DIARA, HOOGHLY | Age | 35.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 114/77 mmHg | Weight | 50 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||