Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07859 | Date 19/03/2020 |
| Token No | SM/19-20/19953 19/03/2020 | Serial | 056 Last Visit: 19/03/2020 |
| Patient Name | Mrs. BHARATI BANERJEE | Contact No | 6291231299 |
| Address | 66/1/G/1 CHATRA MANA PARA SERAMPORE, BAIDYABATI(M) | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||