Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06206 | Date 22/08/2019 |
| Token No | SM/19-20/9754 03/09/2019 | Serial | 065 Last Visit: 03/09/2019 |
| Patient Name | Mrs. SUPRIYA GHARA | Contact No | 9830759492 |
| Address | 29A CHATRA MUKHERJEE PARA SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||