Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06269 | Date 30/08/2019 |
| Token No | SM/19-20/9442 30/08/2019 | Serial | 014 Last Visit: 30/08/2019 |
| Patient Name | Mrs. DURGABATI DEVI | Contact No | |
| Address | 49 LBS ROAD SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||