Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06048 | Date 05/08/2019 |
| Token No | SM/19-20/7894 05/08/2019 | Serial | 033 Last Visit: 05/08/2019 |
| Patient Name | Mrs. KALPANA PAL | Contact No | 6290411991 |
| Address | 140/176 SHITALA TALA ROAD CHATRA SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||