Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05041 | Date 08/05/2019 |
| Token No | SM/19-20/3439 25/05/2019 | Serial | 065 Last Visit: 20/06/2020 |
| Patient Name | Mrs. SIMA RAJAK | Contact No | 9830595834 |
| Address | 9 CHAKRABORTY LANE SERAMPORE | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||