Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04929 | Date 26/04/2019 |
| Token No | SM/19-20/3428 25/05/2019 | Serial | 054 Last Visit: 08/06/2019 |
| Patient Name | Mrs. TIYA MUKHERJEE | Contact No | 9892825472 |
| Address | 24A/1 CHATRA BHADURI PARA SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||