Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06242 | Date 27/08/2019 |
| Token No | SM/19-20/9256 27/08/2019 | Serial | 064 Last Visit: 27/08/2019 |
| Patient Name | Mrs. GARGI DAS | Contact No | 9163832346 |
| Address | 32 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||