Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05602 | Date 27/06/2019 |
| Token No | SM/19-20/5482 27/06/2019 | Serial | 065 Last Visit: 27/06/2019 |
| Patient Name | Miss ANKITA GHOSH | Contact No | 9875458983 |
| Address | TALPUKUR SERAMPORE-3 DAKSHIN RAJYADHARPUR | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||