Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07312 | Date 10/01/2020 |
| Token No | SM/19-20/16484 10/01/2020 | Serial | 009 Last Visit: 10/01/2020 |
| Patient Name | Mrs. ANJALI KUNDU | Contact No | 8820344589 |
| Address | 4 CHOWDHURY PARA LANE CHATRA SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||