Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04242 | Date 15/03/2019 |
| Token No | SM/18-19/10795 18/03/2019 | Serial | 094 Last Visit: 18/03/2019 |
| Patient Name | Mrs. KRISHNA DEY | Contact No | 9748970051 |
| Address | 1 CHATRA MUKHERJEE PARA , SEARMPORE | Age | 32 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||