Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06780 | Date 01/11/2019 |
| Token No | SM/19-20/12612 01/11/2019 | Serial | 059 Last Visit: 01/11/2019 |
| Patient Name | Mrs. ANJANA BANERJEE | Contact No | 9230437646 |
| Address | 1 CHATRA DHARMOTALA , SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||