Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06841 | Date 13/11/2019 |
| Token No | SM/19-20/13084 13/11/2019 | Serial | 011 Last Visit: 13/11/2019 |
| Patient Name | Mrs. PARBATI ASH | Contact No | 8981511330 |
| Address | 14 DUTTAS LANE SERAMPORE | Age | 84 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/88 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||