Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05267 | Date 28/05/2019 |
| Token No | SM/19-20/3839 01/06/2019 | Serial | 040 Last Visit: 01/06/2019 |
| Patient Name | Mrs. KALYANI BOSE | Contact No | 9051212936 |
| Address | BANAMALIPUR(WEST), BARASAT(M) NORTH 24 PARGANAS | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||