Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07689 | Date 02/03/2020 |
| Token No | SM/19-20/18994 02/03/2020 | Serial | 031 Last Visit: 22/05/2020 |
| Patient Name | Mrs. SOMA SENGUPTA | Contact No | 8981874188 |
| Address | 45 E CHATRA,MUSALMAN PARA ROAD | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||