Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05034 | Date 08/05/2019 |
| Token No | SM/19-20/2981 20/05/2019 | Serial | 029 Last Visit: 10/06/2019 |
| Patient Name | Mrs. ALO MALIK | Contact No | 9143740806 |
| Address | 45 A.P GHOSH ROAD SERAMPORE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||