Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04950 | Date 27/04/2019 |
| Token No | SM/19-20/1827 27/04/2019 | Serial | 076 Last Visit: 27/04/2019 |
| Patient Name | Mrs. BASANTI PAL | Contact No | 9903202470 |
| Address | CHATRA KUMARPARA LANE SERAMPORE HOOGHLY | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||