Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03891 | Date 27/02/2019 |
| Token No | SM/18-19/9529 27/02/2019 | Serial | 018 Last Visit: 27/02/2019 |
| Patient Name | Mrs. RINA CHAKRBORTY | Contact No | |
| Address | CHATRA SIDESWARI TALA | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/84 mmHg | Weight | 99 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||