Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04593 | Date 06/04/2019 |
| Token No | SM/19-20/20037 20/03/2020 | Serial | 074 Last Visit: 20/03/2020 |
| Patient Name | Miss BIDISHA LAHA | Contact No | 9903594831 |
| Address | 13A CHATRA DUTTA PARA SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||