Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03666 | Date 18/02/2019 |
| Token No | SM/18-19/8930 18/02/2019 | Serial | 103 Last Visit: 18/02/2019 |
| Patient Name | Mrs. SUNITA SING | Contact No | 8013288411 |
| Address | 53 MUKHERJEE PARA LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||