Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04336 | Date 20/03/2019 |
| Token No | SM/18-19/11178 25/03/2019 | Serial | 098 Last Visit: 13/07/2020 |
| Patient Name | Mrs. SUPARNA DAS | Contact No | 8017539878 |
| Address | 9 SIDESWARI LANE SERAMPORE HOOGHLY | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||