Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07370 | Date 20/01/2020 |
| Token No | SM/19-20/16898 20/01/2020 | Serial | 011 Last Visit: 20/01/2020 |
| Patient Name | Mrs. BHARATI DUTTA | Contact No | 8961146236 |
| Address | 28 DUTTA PARA LANE CHATRA SERAMPORE | Age | 80 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 130/90 mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||