Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05087 | Date 13/05/2019 |
| Token No | SM/19-20/2630 13/05/2019 | Serial | 041 Last Visit: 13/05/2019 |
| Patient Name | Mrs. SWAPNA PRAMANIK | Contact No | 8691115869 |
| Address | 60/40 J.N. GUPTA LANE BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 118/78 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||