Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01403 | Date 28/09/2018 |
| Token No | SM/19-20/3244 22/05/2019 | Serial | 085 Last Visit: 23/12/2019 |
| Patient Name | Mrs. MAHAMAYA ASH | Contact No | 8961146236 |
| Address | 29/A CHATRA DUTTA PARA, SERAMPORE | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/84 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||