Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07225 | Date 24/12/2019 |
| Token No | SM/19-20/18889 28/02/2020 | Serial | 075 Last Visit: 18/03/2020 |
| Patient Name | Mrs. ILARANI MUKHERJEE | Contact No | 9674357883 |
| Address | 32 P.N MUKHERJEE STREET CHATRA SERAMPORE | Age | 78 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||