Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07047 | Date 02/12/2019 |
| Token No | SM/19-20/18386 19/02/2020 | Serial | 047 Last Visit: 24/06/2022 |
| Patient Name | Mrs. PRTIVA MUKHERJEE | Contact No | 9836281053 |
| Address | 38A N.S AVENUE SERAMPORE | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||