Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07635 | Date 26/02/2020 |
| Token No | SM/19-20/18684 26/02/2020 | Serial | 027 Last Visit: 26/02/2020 |
| Patient Name | Mrs. SIKHA MAITRA | Contact No | 8013282581 |
| Address | 22 B LAHIRI PARA LANE CHATRA SERAMPORE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||