Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01094 | Date 13/09/2018 |
| Token No | SM/18-19/8534 13/02/2019 | Serial | 001 Last Visit: 13/02/2019 |
| Patient Name | Mrs. SANTANA BANERJEE | Contact No | 8444810128 |
| Address | 4, CHATRA CHOWDHURY PARA BYE LANE | Age | 23.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 146/90 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||