Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07534 | Date 14/02/2020 |
| Token No | SM/19-20/18049 14/02/2020 | Serial | 006 Last Visit: 14/02/2020 |
| Patient Name | Mrs. SHELI PAL | Contact No | |
| Address | 101 A P GHOSH ROAD | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||