Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04150 | Date 11/03/2019 |
| Token No | SM/18-19/10335 11/03/2019 | Serial | 044 Last Visit: 11/03/2019 |
| Patient Name | Mrs. MADHUMITA DUTTA | Contact No | 9874755487 |
| Address | 33 CHATRA DUTTA PARA SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||