Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01159 | Date 15/09/2018 |
| Token No | SM/19-20/8907 21/08/2019 | Serial | 069 Last Visit: 18/12/2019 |
| Patient Name | Mrs. PRATHANA BAIRAGI | Contact No | 9883734378 |
| Address | 42/A K.M SAHA STREET SERAMPORE | Age | 47.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||