Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06392 | Date 12/09/2019 |
| Token No | SM/19-20/10269 12/09/2019 | Serial | 087 Last Visit: 12/09/2019 |
| Patient Name | Miss RUKMINI SHAW | Contact No | 7278797191 |
| Address | BAZAR BYE LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||