Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05589 | Date 27/06/2019 |
| Token No | SM/19-20/5438 27/06/2019 | Serial | 021 Last Visit: 05/10/2021 |
| Patient Name | Miss PAMPA KAYAL | Contact No | 8481870606 |
| Address | 38/D G.T ROAD CHATRA SERAMPORE | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||