Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05984 | Date 29/07/2019 |
| Token No | SM/19-20/7483 29/07/2019 | Serial | 019 Last Visit: 29/07/2019 |
| Patient Name | Mrs. ASHA MALIK | Contact No | 7686830295 |
| Address | 31/A BARO BAGAN SHIB TALA , SERAMPORE(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||