Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00088 | Date 03/08/2018 |
| Token No | SM/18-19/89 03/08/2018 | Serial | 006 Last Visit: 03/08/2018 |
| Patient Name | Mrs. RADHARANI BISWAS | Contact No | |
| Address | 8 CHATRA BAJAR ROAD | Age | 58 Years,5 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 147/95 mmHg | Weight | 67 KG |
| Pulse Rate | 96 / min | Height | cm BMI: inf |
| Diagnosis | |||