Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06237 | Date 27/08/2019 |
| Token No | SM/19-20/9219 27/08/2019 | Serial | 027 Last Visit: 27/08/2019 |
| Patient Name | Mrs. DIPA NATH | Contact No | 6289034540 |
| Address | 2/9 LANIN SARANI SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||