Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03154 | Date 24/01/2019 |
| Token No | SM/18-19/7338 24/01/2019 | Serial | 025 Last Visit: 24/01/2019 |
| Patient Name | Mrs. SABITA SARKAR | Contact No | 8479825988 |
| Address | NABAGRAM VIVEKANAND SARANI, BAIDYABATI(M) | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||