Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03704 | Date 19/02/2019 |
| Token No | SM/18-19/9049 19/02/2019 | Serial | 079 Last Visit: 19/02/2019 |
| Patient Name | Mrs. GOURI BHATTECHARJEE | Contact No | 7059705107 |
| Address | 38 A P GHOSH ROAD | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||