Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04532 | Date 03/04/2019 |
| Token No | SM/19-20/199 03/04/2019 | Serial | 054 Last Visit: 03/04/2019 |
| Patient Name | Mrs. GITA MUKHERJEE | Contact No | 9007614220 |
| Address | 7 CHAPA TALA LANE CHATRA SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||