Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05140 | Date 16/05/2019 |
| Token No | SM/19-20/25497 08/09/2020 | Serial | 011 Last Visit: 08/09/2020 |
| Patient Name | Mrs. ANJU BHATTACHARYA | Contact No | 9874682758 |
| Address | 33 DR, P.N MUKHERJEE STREET SERAMPORE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||