Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06544 | Date 25/09/2019 |
| Token No | SM/19-20/11114 25/09/2019 | Serial | 056 Last Visit: 25/09/2019 |
| Patient Name | Miss DEBOLINA CHOWDHURY | Contact No | 9903170770 |
| Address | 280/9/A RAMKRISNA ROAD,BAIDYABATI(M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||