Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04939 | Date 27/04/2019 |
| Token No | SM/19-20/1798 27/04/2019 | Serial | 047 Last Visit: 27/04/2019 |
| Patient Name | Mrs. LIPIKA MUKHERJEE | Contact No | 7044244374 |
| Address | 17,CHATRA CHOWDHURY PARA/LANE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||