Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04558 | Date 04/04/2019 |
| Token No | SM/19-20/688 10/04/2019 | Serial | 054 Last Visit: 02/07/2019 |
| Patient Name | Mrs. APARNA DEY | Contact No | 8961133193 |
| Address | 49 MUKHERJEE PARA LANE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||