Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00791 | Date 28/08/2018 |
| Token No | SM/18-19/988 28/08/2018 | Serial | 058 Last Visit: 28/08/2018 |
| Patient Name | Mrs. SHANTIPRIYA GHOSH | Contact No | |
| Address | BAIDYABATI M | Age | 62.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 112/65 mmHg | Weight | 46 KG |
| Pulse Rate | 90 / min | Height | cm BMI: inf |
| Diagnosis | |||