Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06999 | Date 27/11/2019 |
| Token No | SM/19-20/19038 04/03/2020 | Serial | 012 Last Visit: 06/03/2020 |
| Patient Name | Miss ADITI BANDYAPADHYA | Contact No | 6290571919 |
| Address | 1 DR. P. N. MUKHERJEE STREET | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||