Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07415 | Date 25/01/2020 |
| Token No | SM/19-20/17164 25/01/2020 | Serial | 007 Last Visit: 25/01/2020 |
| Patient Name | Mrs. JYOTSNA GHOSHAL | Contact No | 9903132418 |
| Address | 36 SATCHASHI PARA SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||