Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04973 | Date 29/04/2019 |
| Token No | SM/19-20/5227 24/06/2019 | Serial | 093 Last Visit: 16/08/2019 |
| Patient Name | Mrs. MADHU SARKAR | Contact No | 9874715495 |
| Address | 182/2 RAJYADHARPUR GOVT COLONY SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||