Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04797 | Date 22/04/2019 |
| Token No | SM/19-20/1294 22/04/2019 | Serial | 009 Last Visit: 22/04/2019 |
| Patient Name | Mrs. BABY MUKHERJEE | Contact No | 8017169760 |
| Address | 24A BHADURI LANE SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||