Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00656 | Date 23/08/2018 |
| Token No | SM/18-19/6242 04/01/2019 | Serial | 027 Last Visit: 18/09/2020 |
| Patient Name | Mrs. REKHA BOSE | Contact No | 8017449313 |
| Address | 45, A.P GHOSH ROAD, SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||