Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06792 | Date 05/11/2019 |
| Token No | SM/19-20/12698 05/11/2019 | Serial | 072 Last Visit: 05/11/2019 |
| Patient Name | Mrs. TUMPA MONDAL | Contact No | 9875494695 |
| Address | 5/C CHATRA LAHIRI PARA SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||