Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00937 | Date 05/09/2018 |
| Token No | SM/20-21/29371 15/01/2021 | Serial | 004 Last Visit: 01/12/2021 |
| Patient Name | Mrs. TUTU PAUL | Contact No | 9836908394 |
| Address | CHINSURAH | Age | 52 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||