Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04599 | Date 06/04/2019 |
| Token No | SM/19-20/426 06/04/2019 | Serial | 054 Last Visit: 16/04/2019 |
| Patient Name | Mrs. SMRITI BENERJEE | Contact No | 8910424339 |
| Address | 59 DUTTA PARA LANE,SERAMPORE | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||