Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06138 | Date 16/08/2019 |
| Token No | SM/19-20/8536 16/08/2019 | Serial | 119 Last Visit: 16/08/2019 |
| Patient Name | Mrs. SUKLA DAS | Contact No | 9883054335 |
| Address | 537/E G.T ROAD , SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||