Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07745 | Date 11/03/2020 |
| Token No | SM/19-20/19381 11/03/2020 | Serial | 044 Last Visit: 11/03/2020 |
| Patient Name | Mrs. SANGITA SENGUPTA | Contact No | 9432343203 |
| Address | 45 CHATRA MUSALMAN PARA ROAD , SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||