Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02368 | Date 06/12/2018 |
| Token No | SM/18-19/4756 06/12/2018 | Serial | 011 Last Visit: 01/08/2019 |
| Patient Name | Mrs. BAISHKHI SAHA | Contact No | 9038069425 |
| Address | 12A GAWLA PARA LANE SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||