Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04672 | Date 11/04/2019 |
| Token No | SM/19-20/1398 22/04/2019 | Serial | 113 Last Visit: 22/04/2019 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 9681411715 |
| Address | DAKSHIN RAJDHARPUR PASCHIM PARA ,SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||