Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04510 | Date 02/04/2019 |
| Token No | SM/19-20/1089 18/04/2019 | Serial | 002 Last Visit: 18/04/2019 |
| Patient Name | Mrs. ABEDA BIBI | Contact No | |
| Address | MILKI BADAM TALA PIYARAPUR, SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||