Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06982 | Date 25/11/2019 |
| Token No | SM/19-20/14779 06/12/2019 | Serial | 036 Last Visit: 06/12/2019 |
| Patient Name | Mrs. ANJALI GHOSH | Contact No | 8597315260 |
| Address | 13D P.N MUKHERJEE STREET SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||