Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04849 | Date 23/04/2019 |
| Token No | SM/19-20/1441 23/04/2019 | Serial | 022 Last Visit: 23/04/2019 |
| Patient Name | Mrs. MITALI NATH | Contact No | 9804309569 |
| Address | 30 NO. K.K. MUKHERJEE SARANI CHATRA SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||