Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07821 | Date 17/03/2020 |
| Token No | SM/19-20/19798 17/03/2020 | Serial | 057 Last Visit: 17/03/2020 |
| Patient Name | Mrs. TUMPA PAL | Contact No | 9163594252 |
| Address | 51 DHARMATALA LANE SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||