Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04983 | Date 30/04/2019 |
| Token No | SM/19-20/10142 11/09/2019 | Serial | 049 Last Visit: 10/07/2021 |
| Patient Name | Mrs. PRATIMA GHOSH | Contact No | 9051212936 |
| Address | 35 KK MUKHERJEE SARANI CHATRA SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||