Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00731 | Date 27/08/2018 |
| Token No | SM/18-19/904 27/08/2018 | Serial | 037 Last Visit: 27/08/2018 |
| Patient Name | Mrs. KALYANI DAS | Contact No | 9432210062 |
| Address | MARADAN GT ROAD, BAIDYABATI(M) | Age | 56.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 104/78 mmHg | Weight | 62 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||