Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05829 | Date 18/07/2019 |
| Token No | SM/19-20/6801 18/07/2019 | Serial | 076 Last Visit: 09/07/2021 |
| Patient Name | Miss SAUMI GHOSH | Contact No | 6289962447 |
| Address | 52/25, RAM KRISHNA ROAD SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||