Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06676 | Date 17/10/2019 |
| Token No | SM/19-20/13166 13/11/2019 | Serial | 093 Last Visit: 13/11/2019 |
| Patient Name | Mrs. ARJAN BIBI | Contact No | 9330913742 |
| Address | 19/C KUMAR PARA LANE CHATRA , SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||