Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04425 | Date 27/03/2019 |
| Token No | SM/18-19/11373 27/03/2019 | Serial | 077 Last Visit: 27/03/2019 |
| Patient Name | Mrs. INDRANI DUTTA | Contact No | 9748741819 |
| Address | 18 JAGO MOHAN LAHIRI LANE SERMPORE (M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||