Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04371 | Date 25/03/2019 |
| Token No | SM/19-20/748 11/04/2019 | Serial | 055 Last Visit: 29/07/2019 |
| Patient Name | Mrs. BIBHA DAS | Contact No | 9874381659 |
| Address | 6/2 ROY GHAT LANE | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||