Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06393 | Date 13/09/2019 |
| Token No | SM/19-20/10284 13/09/2019 | Serial | 014 Last Visit: 13/09/2019 |
| Patient Name | Mrs. SABITRI SINGH | Contact No | 9903354048 |
| Address | 56, KM BHATTACHARJEE STREET SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||