Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03528 | Date 12/02/2019 |
| Token No | SM/18-19/8525 12/02/2019 | Serial | 129 Last Visit: 12/02/2019 |
| Patient Name | Mrs. KAKAN PAUL | Contact No | 9674970854 |
| Address | 50 CHATRA DHARMATALA LANE VOTER ID-(WB/26/180/015246) | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||