Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06207 | Date 22/08/2019 |
| Token No | SM/19-20/9010 22/08/2019 | Serial | 075 Last Visit: 22/08/2019 |
| Patient Name | Mrs. KUKUMANI PRAMANIK | Contact No | 9831616590 |
| Address | 22A PN CHAKRABORTY LANE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||