Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06076 | Date 07/08/2019 |
| Token No | SM/19-20/8077 07/08/2019 | Serial | 020 Last Visit: 07/08/2019 |
| Patient Name | Mrs. PRIYA RANI GHOSH | Contact No | 8017783159 |
| Address | 41 KUMIR JELA ROAD , SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 94 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||