Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07380 | Date 20/01/2020 |
| Token No | SM/19-20/16955 20/01/2020 | Serial | 068 Last Visit: 20/01/2020 |
| Patient Name | Mrs. MOUSUMI MONDAL | Contact No | 6291033912 |
| Address | CHOTO BELUR CHECK POST SARDAR PARA , SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||