Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08449 | Date 29/06/2020 |
| Token No | SM/19-20/23529 29/06/2020 | Serial | 037 Last Visit: 06/08/2020 |
| Patient Name | Mrs. GURIYA KUMARI | Contact No | 9330437313 |
| Address | 24NO K.N.BHATTACHARYASTREET SERAMPORE M | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||