Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04847 | Date 23/04/2019 |
| Token No | SM/19-20/1439 23/04/2019 | Serial | 020 Last Visit: 23/04/2019 |
| Patient Name | Miss RITUPARNA NATH | Contact No | 9804309569 |
| Address | 30 NO K.K MUKHERJEE SARANI CHATRA SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||