Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06003 | Date 30/07/2019 |
| Token No | SM/19-20/7563 30/07/2019 | Serial | 012 Last Visit: 01/08/2019 |
| Patient Name | Mrs. ARPITA DAS | Contact No | 9339453783 |
| Address | 7 DR, BAGAN LANE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||