Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02528 | Date 14/12/2018 |
| Token No | SM/18-19/8485 12/02/2019 | Serial | 089 Last Visit: 12/02/2019 |
| Patient Name | Mrs. ANJU MUKHERJEE | Contact No | |
| Address | 5 N N ROY STREET | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||