Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04338 | Date 23/03/2019 |
| Token No | SM/18-19/11006 23/03/2019 | Serial | 010 Last Visit: 23/03/2019 |
| Patient Name | Mrs. NILIMA CHATERJEE | Contact No | 7686951167 |
| Address | 9 P.N MUKHERJEE STREET SERAMPORE | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||