Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05190 | Date 22/05/2019 |
| Token No | SM/19-20/3165 22/05/2019 | Serial | 006 Last Visit: 31/12/2021 |
| Patient Name | Mrs. SUPRITI MUKHERJEE | Contact No | 8017116997 |
| Address | P.N MUKHERJEE STREET SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||