Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05914 | Date 24/07/2019 |
| Token No | SM/19-20/12502 31/10/2019 | Serial | 023 Last Visit: 11/11/2019 |
| Patient Name | Mrs. SIMA NATH | Contact No | 9804765711 |
| Address | 10/B CHATRA KUMAR PARA SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||