Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04673 | Date 11/04/2019 |
| Token No | SM/19-20/1253 20/04/2019 | Serial | 074 Last Visit: 20/04/2019 |
| Patient Name | Mrs. SWAPANA DUTTA | Contact No | 9339164162 |
| Address | 67A CHATRA BARUI PARA LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||