Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00703 | Date 25/08/2018 |
| Token No | SM/18-19/862 25/08/2018 | Serial | 031 Last Visit: 16/11/2018 |
| Patient Name | Mrs. HENA DUTTA | Contact No | 8777714668 |
| Address | CHATRA DUTTA PARA LANE | Age | 58.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||