Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02090 | Date 22/11/2018 |
| Token No | SM/18-19/4044 22/11/2018 | Serial | 039 Last Visit: 22/11/2018 |
| Patient Name | Mrs. RUMPA MUKHERJEE | Contact No | 8479951721 |
| Address | DEY STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||