Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04906 | Date 25/04/2019 |
| Token No | SM/19-20/1644 25/04/2019 | Serial | 030 Last Visit: 25/04/2019 |
| Patient Name | Mrs. PRIYANKA DAS | Contact No | 7596881663 |
| Address | CHINSURAH | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||