Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06822 | Date 09/11/2019 |
| Token No | SM/19-20/13238 14/11/2019 | Serial | 065 Last Visit: 14/01/2020 |
| Patient Name | Mrs. PUSHPARANI BERA | Contact No | 8116642699 |
| Address | CHATRA SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||