Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06724 | Date 22/10/2019 |
| Token No | SM/19-20/12202 22/10/2019 | Serial | 025 Last Visit: 22/10/2019 |
| Patient Name | Mrs. RANJANA GUIN | Contact No | 8013355712 |
| Address | 90/A/2 CHATRA BARUI PARA LANE SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||