Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06106 | Date 10/08/2019 |
| Token No | SM/19-20/8315 10/08/2019 | Serial | 036 Last Visit: 05/05/2020 |
| Patient Name | Miss SUDESHNA SOM | Contact No | 9874581489 |
| Address | 24B BARUIPARA LANE CHATRA SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||