Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03328 | Date 02/02/2019 |
| Token No | SM/18-19/7885 02/02/2019 | Serial | 074 Last Visit: 02/02/2019 |
| Patient Name | Mrs. PRIYANKA DUTTA | Contact No | 8777458019 |
| Address | 189/A RAJJODHAR PUR,SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||