Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07036 | Date 02/12/2019 |
| Token No | SM/19-20/16144 02/01/2020 | Serial | 037 Last Visit: 07/04/2020 |
| Patient Name | Mrs. KANKAN PAUL | Contact No | 9674970854 |
| Address | 50 DHARMATALA LANE CHATRA SERAMPORE | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||