Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04466 | Date 29/03/2019 |
| Token No | SM/19-20/188 03/04/2019 | Serial | 043 Last Visit: 03/12/2019 |
| Patient Name | Mrs. ARPITA PAL | Contact No | 9674437724 |
| Address | 2B SIDESWARI LANE SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||