Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06758 | Date 25/10/2019 |
| Token No | SM/19-20/12409 25/10/2019 | Serial | 025 Last Visit: 25/10/2019 |
| Patient Name | Mrs. SUKUMANI PRAMANIK | Contact No | 9831616590 |
| Address | 22/A PN CHAKRABORTY LANE SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||