Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07573 | Date 18/02/2020 |
| Token No | SM/19-20/18304 18/02/2020 | Serial | 039 Last Visit: 18/02/2020 |
| Patient Name | Mrs. BIJALI GHOSH | Contact No | 9831772248 |
| Address | 12/A A.P GHOSH ROAD CHATRA SERAMPORE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||