Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07434 | Date 28/01/2020 |
| Token No | SM/19-20/17344 28/01/2020 | Serial | 037 Last Visit: 28/01/2020 |
| Patient Name | Mrs. SUNDARI MONDAL | Contact No | 7044505334 |
| Address | 108 G.T.ROAD WEST SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||