Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06363 | Date 09/09/2019 |
| Token No | SM/19-20/10050 09/09/2019 | Serial | 054 Last Visit: 23/09/2019 |
| Patient Name | Mrs. UMA TARA MONDAL | Contact No | 9830407211 |
| Address | SERAMPORE | Age | 56 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||