Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07226 | Date 26/12/2019 |
| Token No | SM/19-20/15873 26/12/2019 | Serial | 004 Last Visit: 26/12/2019 |
| Patient Name | Mrs. BHANUMATI DEBNATH | Contact No | |
| Address | CHATRA SHITLATALA, SERAMPORE | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||