Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06643 | Date 15/10/2019 |
| Token No | SM/19-20/11993 18/10/2019 | Serial | 013 Last Visit: 18/10/2019 |
| Patient Name | Mrs. NITU SARKAR DAS | Contact No | 8371010071 |
| Address | 9 SIDESWARI LANE CHATRA SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||