Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06310 | Date 02/09/2019 |
| Token No | SM/19-20/9643 02/09/2019 | Serial | 038 Last Visit: 02/09/2019 |
| Patient Name | Mrs. SATABDI CHOWDHURY | Contact No | 8777260847 |
| Address | 9/E/8 BARO BAGAN LANE ,SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||