Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06932 | Date 20/11/2019 |
| Token No | SM/19-20/14575 03/12/2019 | Serial | 058 Last Visit: 03/12/2019 |
| Patient Name | Mrs. SWAPANA GHOSH | Contact No | 8981587064 |
| Address | 5 SUDIP CH. ROY LANE CHATRA SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||