Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04332 | Date 20/03/2019 |
| Token No | SM/18-19/10983 20/03/2019 | Serial | 088 Last Visit: 20/03/2019 |
| Patient Name | Mrs. RINA GHOSH | Contact No | 8017230889 |
| Address | 18B KK MUKHERJEE SARANI SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||