Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04918 | Date 26/04/2019 |
| Token No | SM/19-20/1703 26/04/2019 | Serial | 015 Last Visit: 26/04/2019 |
| Patient Name | Mrs. PIKU RAY | Contact No | 8017967321 |
| Address | 5 DR G. C GOSWAMI STREET SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||