Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07631 | Date 26/02/2020 |
| Token No | SM/19-20/19019 02/03/2020 | Serial | 056 Last Visit: 27/08/2022 |
| Patient Name | Mrs. PURNIMA DEY | Contact No | 8017813605 |
| Address | 140/178C BAGER BAGAN TELI PARA , SERAMPORE | Age | 52YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||