Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07998 | Date 02/04/2020 |
| Token No | SM/19-20/20643 02/04/2020 | Serial | 022 Last Visit: 15/06/2021 |
| Patient Name | Mrs. MAMATA GANGAPUTRA | Contact No | |
| Address | 41 A.P GHOSH ROAD SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||