Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03341 | Date 04/02/2019 |
| Token No | SM/19-20/16121 02/01/2020 | Serial | 014 Last Visit: 05/09/2022 |
| Patient Name | Mrs. MINU BANERJEE | Contact No | 9051887893 |
| Address | CHATRA DHARMATALA, SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||