Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05977 | Date 27/07/2019 |
| Token No | SM/19-20/7437 27/07/2019 | Serial | 049 Last Visit: 27/07/2019 |
| Patient Name | Miss ISHIKA DUTTA | Contact No | 8697545861 |
| Address | 10A DUTTAS LANE CHATRA SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||