Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07418 | Date 25/01/2020 |
| Token No | SM/19-20/17191 25/01/2020 | Serial | 034 Last Visit: 25/01/2020 |
| Patient Name | Mrs. SIMA SANYAL | Contact No | 9830964478 |
| Address | 3C HARA MOHAN GOSWAMI STREET SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||