Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03392 | Date 05/02/2019 |
| Token No | SM/18-19/8090 05/02/2019 | Serial | 081 Last Visit: 05/02/2019 |
| Patient Name | Mrs. ALO KARMAKER | Contact No | 8697830378 |
| Address | 2 GOV. COLONI,RAJJODHAR PUR,SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||