Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04460 | Date 29/03/2019 |
| Token No | SM/19-20/13769 22/11/2019 | Serial | 018 Last Visit: 06/03/2020 |
| Patient Name | Mrs. SEFALI GHOSH | Contact No | 9836349971 |
| Address | 50A CHATRA MANA PARA SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||