Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05093 | Date 13/05/2019 |
| Token No | SM/19-20/2651 13/05/2019 | Serial | 062 Last Visit: 25/05/2019 |
| Patient Name | Mrs. BUBAI GANGULY | Contact No | 8981578820 |
| Address | 40 SATCHASI PARA CHATRA , BAIDYABATI PARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 180/110 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||