Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06013 | Date 30/07/2019 |
| Token No | SM/19-20/7627 30/07/2019 | Serial | 076 Last Visit: 30/07/2019 |
| Patient Name | Mrs. TANUSHREE SINHA RAY | Contact No | 9231900312 |
| Address | 12/C AC CHATERJEE SARANI, SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||