Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07004 | Date 28/11/2019 |
| Token No | SM/19-20/16752 16/01/2020 | Serial | 031 Last Visit: 27/01/2020 |
| Patient Name | Mrs. MAYA MUKHERJEE | Contact No | 9883532669 |
| Address | 26 CHATRA CHOWDHURY PARA , SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||