Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06022 | Date 01/08/2019 |
| Token No | SM/19-20/8431 16/08/2019 | Serial | 014 Last Visit: 18/12/2019 |
| Patient Name | Mrs. SABITA PAL | Contact No | 9230430540 |
| Address | 54 CHATRA DUTTA PARA SERAMPORE | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||