Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06747 | Date 23/10/2019 |
| Token No | SM/19-20/12293 23/10/2019 | Serial | 031 Last Visit: 23/10/2019 |
| Patient Name | Mrs. PURNIMA KUNDU | Contact No | 9163784922 |
| Address | 2/C P.N MUKHERJEE CHATRA , SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||