Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04896 | Date 24/04/2019 |
| Token No | SM/19-20/12904 07/11/2019 | Serial | 075 Last Visit: 03/01/2020 |
| Patient Name | Mrs. PHALGUNI BANDYOPADHYAY | Contact No | 9477360743 |
| Address | 12B CHATRA DUTTA\\\\\\\'S LANE , SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||