Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07266 | Date 02/01/2020 |
| Token No | SM/19-20/16125 02/01/2020 | Serial | 018 Last Visit: 02/01/2020 |
| Patient Name | Mrs. SOMA PAL | Contact No | 9830873473 |
| Address | 18E BARO BAGAN LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||