Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06915 | Date 19/11/2019 |
| Token No | SM/19-20/13571 19/11/2019 | Serial | 068 Last Visit: 19/11/2019 |
| Patient Name | Mrs. PIALEE SARKAR CHAUDHURI | Contact No | 9875339710 |
| Address | 30 P.N MUKHERJEE STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||