Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02011 | Date 16/11/2018 |
| Token No | SM/18-19/3815 16/11/2018 | Serial | 048 Last Visit: 12/02/2020 |
| Patient Name | Miss CHANDRANI PAL | Contact No | 8617748644 |
| Address | 29/B DR. P.N MUKHERJEE CHATRA SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||