Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07438 | Date 28/01/2020 |
| Token No | SM/19-20/17354 28/01/2020 | Serial | 047 Last Visit: 06/06/2020 |
| Patient Name | Mrs. SANAKA MONDAL | Contact No | 7980059221 |
| Address | 31/A BARA BAGAN LANE MALLICKPARA, SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||