Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04424 | Date 27/03/2019 |
| Token No | SM/18-19/11352 27/03/2019 | Serial | 056 Last Visit: 27/03/2019 |
| Patient Name | Mrs. ARTRI BEGAM | Contact No | 9883232063 |
| Address | 4B K.M BHATCHARJEE STREET | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||