Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07140 | Date 13/12/2019 |
| Token No | SM/19-20/15802 23/12/2019 | Serial | 052 Last Visit: 23/12/2019 |
| Patient Name | Mrs. ARATI LAHIRI | Contact No | 9836983249 |
| Address | 2 LAHIRI PARA LANE CHATRA SERAMPORE | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||