Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05605 | Date 27/06/2019 |
| Token No | SM/19-20/16589 11/01/2020 | Serial | 049 Last Visit: 14/02/2020 |
| Patient Name | Mrs. AMITA SHAW | Contact No | 8481947521 |
| Address | 14A PACHU GOPAL BHADURI SARANI, SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||