Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06604 | Date 11/10/2019 |
| Token No | SM/19-20/11581 11/10/2019 | Serial | 029 Last Visit: 28/04/2020 |
| Patient Name | Mrs. SHYAMALI DHARA | Contact No | 7890628121 |
| Address | 49/A DAKSHIN BHATTACHARIYA PARA , SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||