Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04722 | Date 16/04/2019 |
| Token No | SM/19-20/979 16/04/2019 | Serial | 095 Last Visit: 16/04/2019 |
| Patient Name | Mrs. AMINA KHATUN | Contact No | 9903128141 |
| Address | 10 T.C GOSWAMI STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 200/100 mmHg | Weight | 35.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||