Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03343 | Date 04/02/2019 |
| Token No | SM/18-19/7933 04/02/2019 | Serial | 029 Last Visit: 04/02/2019 |
| Patient Name | Mrs. SOMA PATRA | Contact No | 9804704256 |
| Address | 134/A NETAJI SUBHAS AV NEW SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||