Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00165 | Date 06/08/2018 |
| Token No | SM/19-20/16275 06/01/2020 | Serial | 071 Last Visit: 20/07/2020 |
| Patient Name | Mrs. KAMLA DAS | Contact No | 9051612075 |
| Address | 126A, A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 65.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||