Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05592 | Date 27/06/2019 |
| Token No | SM/19-20/13033 11/11/2019 | Serial | 075 Last Visit: 11/03/2020 |
| Patient Name | Mrs. PRATIMA SAHA | Contact No | 8902036312 |
| Address | CHINSURAH SATPITH TALA | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||