Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07570 | Date 18/02/2020 |
| Token No | SM/19-20/18285 18/02/2020 | Serial | 020 Last Visit: 25/02/2020 |
| Patient Name | Mrs. DIPIKA KUNDU JANA | Contact No | 8961114635 |
| Address | 77/B CHATRA MUKHERJEE PARA SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||