Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02358 | Date 05/12/2018 |
| Token No | SM/18-19/10646 16/03/2019 | Serial | 028 Last Visit: 24/05/2019 |
| Patient Name | Mrs. NAMITARANI MONDAL | Contact No | 9903314006 |
| Address | 61A THAKUR DAS BABU LANE, SERAMPORE | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||