Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06617 | Date 14/10/2019 |
| Token No | SM/19-20/11633 14/10/2019 | Serial | 027 Last Visit: 14/10/2019 |
| Patient Name | Mrs. PRANTIKA PAL | Contact No | 9474461775 |
| Address | 24 A.K. DUTTA SARANI,USANGAN APARTMENT FLAT | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||