Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07007 | Date 29/11/2019 |
| Token No | SM/19-20/15510 18/12/2019 | Serial | 020 Last Visit: 18/12/2019 |
| Patient Name | Mrs. SK SAYARAB | Contact No | 8420342814 |
| Address | 50/AMALLICK PARA LANE SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||