Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03044 | Date 17/01/2019 |
| Token No | SM/18-19/7099 19/01/2019 | Serial | 032 Last Visit: 19/01/2019 |
| Patient Name | Mrs. MINATI BOSE | Contact No | 6289333704 |
| Address | 63B BY SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||