Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07551 | Date 15/02/2020 |
| Token No | SM/19-20/18142 15/02/2020 | Serial | 041 Last Visit: 09/03/2022 |
| Patient Name | Miss SWARNALI PRAMANIK | Contact No | 8334884717 |
| Address | 41 (29) NABINCHAKRABORTY LANE , BAIDYABTI(M) | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||