Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06276 | Date 30/08/2019 |
| Token No | SM/19-20/9478 30/08/2019 | Serial | 050 Last Visit: 31/08/2019 |
| Patient Name | Mrs. SRIJITA SEAL | Contact No | 8240351779 |
| Address | 26/B BENIYA PARA LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||