Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07385 | Date 21/01/2020 |
| Token No | SM/19-20/16976 21/01/2020 | Serial | 020 Last Visit: 19/02/2020 |
| Patient Name | Mrs. SUNITY BENERJEE | Contact No | 9477722034 |
| Address | 12/A DUTTAS LANE | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||