Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03683 | Date 18/02/2019 |
| Token No | SM/18-19/8962 18/02/2019 | Serial | 135 Last Visit: 18/02/2019 |
| Patient Name | Mrs. LATIKA BANERJEE | Contact No | 9830434559 |
| Address | 18/1 PROF. K.K MUKHERJEE SARANI | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||