Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00527 | Date 17/08/2018 |
| Token No | SM/18-19/4005 20/11/2018 | Serial | 083 Last Visit: 22/10/2020 |
| Patient Name | Mrs. TAPASI GHOSH | Contact No | 9331598751 |
| Address | 29 CHAKRABORTY LANE | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||