Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07694 | Date 02/03/2020 |
| Token No | SM/19-20/19018 02/03/2020 | Serial | 055 Last Visit: 02/03/2020 |
| Patient Name | Mrs. SARSWATI KARMOKAR | Contact No | 9239049858 |
| Address | 78/1/I G.T ROAD SERAMPORE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||