Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06659 | Date 16/10/2019 |
| Token No | SM/19-20/11864 16/10/2019 | Serial | 082 Last Visit: 16/10/2019 |
| Patient Name | Mrs. KRISHNA CHAKRABORTY | Contact No | |
| Address | 17/A CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||