Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07172 | Date 17/12/2019 |
| Token No | SM/19-20/15457 17/12/2019 | Serial | 008 Last Visit: 21/12/2019 |
| Patient Name | Mrs. RAMAWATI DEVI | Contact No | 6290788740 |
| Address | 13 P.N MUKHERJEE ROAD , SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||