Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04971 | Date 29/04/2019 |
| Token No | SM/19-20/1889 29/04/2019 | Serial | 045 Last Visit: 29/04/2019 |
| Patient Name | Mrs. HELEN MUKHERJEE | Contact No | 8017449370 |
| Address | 1B SUDHIR CH. ROY LANE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||