Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05643 | Date 02/07/2019 |
| Token No | SM/19-20/5766 02/07/2019 | Serial | 056 Last Visit: 02/07/2019 |
| Patient Name | Mrs. LAKSHMI BISWAS | Contact No | |
| Address | 160/73/D//3,BAGHER BAGAN CHATRA, BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||