Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06603 | Date 11/10/2019 |
| Token No | SM/19-20/11574 11/10/2019 | Serial | 022 Last Visit: 11/10/2019 |
| Patient Name | Mrs. ANINDITA GUIN | Contact No | 9830243980 |
| Address | 31/A CHATRA DUTTA PARA LANE SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||