Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04000 | Date 05/03/2019 |
| Token No | SM/18-19/9844 05/03/2019 | Serial | 045 Last Visit: 05/03/2019 |
| Patient Name | Mrs. PAPRI CHATERJEE | Contact No | 26522256 |
| Address | 11 JAGAT MOHAN LAHIRI LANE | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/88 mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||