Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06710 | Date 21/10/2019 |
| Token No | SM/19-20/12149 21/10/2019 | Serial | 046 Last Visit: 21/10/2019 |
| Patient Name | Mrs. SUJATA PAL | Contact No | 6290932863 |
| Address | 15A CHATRA CHOWDHURY PARA BYE LANE , SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||