Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02196 | Date 29/11/2018 |
| Token No | SM/18-19/4599 03/12/2018 | Serial | 065 Last Visit: 03/12/2018 |
| Patient Name | Mrs. ARATI CHATERJEE | Contact No | 9874979447 |
| Address | 85, A.P GHOSH ROAD CHATRA SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||