Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03960 | Date 02/03/2019 |
| Token No | SM/18-19/9745 02/03/2019 | Serial | 064 Last Visit: 02/03/2019 |
| Patient Name | Mrs. MUNI DAS | Contact No | 6291453020 |
| Address | 13 N.N ROT STREET SERAMPORE HOOGHLY | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||