Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00756 | Date 28/08/2018 |
| Token No | SM/18-19/936 28/08/2018 | Serial | 006 Last Visit: 28/08/2018 |
| Patient Name | Mrs. SHYAMALI PAL | Contact No | 8981219165 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE HOOGHLY | Age | 45.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 209/126 mmHg | Weight | 58.5 KG |
| Pulse Rate | 89 / min | Height | cm BMI: inf |
| Diagnosis | |||