Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06754 | Date 24/10/2019 |
| Token No | SM/19-20/12355 24/10/2019 | Serial | 030 Last Visit: 06/11/2019 |
| Patient Name | Miss TANIA GHOSH | Contact No | 6291136169 |
| Address | 35,PROF K.K. MUKHERJEE SARANI | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||