Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03217 | Date 29/01/2019 |
| Token No | SM/18-19/7543 29/01/2019 | Serial | 036 Last Visit: 29/01/2019 |
| Patient Name | Miss SWAPNA SHAW | Contact No | 6290409375 |
| Address | 30D LIBARARY LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||