Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07297 | Date 07/01/2020 |
| Token No | SM/19-20/16338 07/01/2020 | Serial | 046 Last Visit: 16/01/2020 |
| Patient Name | Mrs. NABANITA PAL | Contact No | 9143067012 |
| Address | 33/A KUMOR PARA LANE CHATRA, SERAMPORE | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||