Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00171 | Date 06/08/2018 |
| Token No | SM/18-19/4900 08/12/2018 | Serial | 027 Last Visit: 09/08/2021 |
| Patient Name | Mrs. SANTANA MUKHERJEE | Contact No | 810076265 |
| Address | 16 P.N MUKHERJEE STREET CHATRA SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||