Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05354 | Date 07/06/2019 |
| Token No | SM/19-20/4195 08/06/2019 | Serial | 043 Last Visit: 13/05/2020 |
| Patient Name | Mrs. TULU NANDI | Contact No | 9331879429 |
| Address | FLAT NO-401(GOPAL NIWAS) CHATRA CHOWDHURY PARA SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||