Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07568 | Date 18/02/2020 |
| Token No | SM/19-20/20372 27/03/2020 | Serial | 020 Last Visit: 09/06/2020 |
| Patient Name | Mrs. TAPASI DAS | Contact No | 9674559563 |
| Address | 14 SIDDHESWARI LANE SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||