Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04393 | Date 26/03/2019 |
| Token No | SM/19-20/347 05/04/2019 | Serial | 053 Last Visit: 07/05/2019 |
| Patient Name | Mrs. KANAN SAHA | Contact No | 9674313489 |
| Address | 16A K.K MUKHERJEE LANE SERAMPORE (M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||