Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04998 | Date 02/05/2019 |
| Token No | SM/19-20/2081 02/05/2019 | Serial | 052 Last Visit: 02/05/2019 |
| Patient Name | Mrs. SUJATA SAHA | Contact No | 9163445614 |
| Address | 7 CHATRA DUTTA PARA SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||