Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03469 | Date 08/02/2019 |
| Token No | SM/18-19/8333 08/02/2019 | Serial | 059 Last Visit: 08/02/2019 |
| Patient Name | Mrs. SANTI MISHRA | Contact No | 8017435887 |
| Address | 3 RABINDYABHABAN ROAD ,SERAMPORE | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||