Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06778 | Date 01/11/2019 |
| Token No | SM/19-20/12599 01/11/2019 | Serial | 046 Last Visit: 01/11/2019 |
| Patient Name | Mrs. NAMITA NANDY | Contact No | 8334982317 |
| Address | 7 BARUI PARA LANE, SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||