Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07186 | Date 19/12/2019 |
| Token No | SM/19-20/15586 19/12/2019 | Serial | 015 Last Visit: 21/12/2019 |
| Patient Name | Mrs. GOURI CHAKRABORTY | Contact No | 9231689391 |
| Address | C/133/X TARAPUKUR GOVT QUARTER , SERAMPORE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||