Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04933 | Date 26/04/2019 |
| Token No | SM/19-20/1746 26/04/2019 | Serial | 058 Last Visit: 26/04/2019 |
| Patient Name | Miss SRILEKHA BISWAS | Contact No | 9339737492 |
| Address | 6 JAGO MOHAN LAHRI LANE, SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||