Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00270 | Date 09/08/2018 |
| Token No | SM/18-19/8084 05/02/2019 | Serial | 075 Last Visit: 05/02/2019 |
| Patient Name | Mrs. SWAGATA MUKHERJEE | Contact No | 8478091939 |
| Address | DR, P.N MUKHERJEE STREET | Age | 35.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||