Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04412 | Date 27/03/2019 |
| Token No | SM/18-19/11303 27/03/2019 | Serial | 007 Last Visit: 27/03/2019 |
| Patient Name | Mrs. MALA BHATTCHARJEE | Contact No | 9831712498 |
| Address | 8B/1 BHATTCHARJEE LANE SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||