Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05590 | Date 27/06/2019 |
| Token No | SM/19-20/5441 27/06/2019 | Serial | 024 Last Visit: 27/06/2019 |
| Patient Name | Mrs. RAKHI MAITY | Contact No | 9062560669 |
| Address | 18/C BARA BAGAN LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||