Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04535 | Date 04/04/2019 |
| Token No | SM/19-20/213 04/04/2019 | Serial | 002 Last Visit: 13/04/2019 |
| Patient Name | Mrs. PADMA KARMAKAR | Contact No | 9903951539 |
| Address | 75 K.M SAHA STREET SERAMPORE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||