Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02311 | Date 03/12/2018 |
| Token No | SM/18-19/4604 03/12/2018 | Serial | 070 Last Visit: 06/12/2019 |
| Patient Name | Mrs. PRATIMA BENERJEE | Contact No | 7059705107 |
| Address | 38 A P GHOSH ROAD, SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 170/96 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||