Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04247 | Date 16/03/2019 |
| Token No | SM/18-19/10635 16/03/2019 | Serial | 017 Last Visit: 16/03/2019 |
| Patient Name | Mrs. KAJARI KUNDU | Contact No | 9874603674 |
| Address | 14D CHATRA DUTTA\'S LANE SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||