Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04588 | Date 06/04/2019 |
| Token No | SM/19-20/395 06/04/2019 | Serial | 023 Last Visit: 06/04/2019 |
| Patient Name | Mrs. NIBHA DAS | Contact No | |
| Address | THAKUR DAS BABU LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||