Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04538 | Date 04/04/2019 |
| Token No | SM/19-20/218 04/04/2019 | Serial | 007 Last Visit: 03/05/2019 |
| Patient Name | Mrs. GITA GUPTA | Contact No | 7890521314 |
| Address | SCM ROAD MUKHERJEE GHAT , BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||