Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07238 | Date 28/12/2019 |
| Token No | SM/19-20/15969 28/12/2019 | Serial | 007 Last Visit: 28/12/2019 |
| Patient Name | Mrs. PUJA BHOWMICK | Contact No | 7278705981 |
| Address | 54B BARO BAGAN LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||