Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05495 | Date 20/06/2019 |
| Token No | SM/19-20/4943 20/06/2019 | Serial | 083 Last Visit: 21/01/2020 |
| Patient Name | Mrs. SWAPANA MUKHERJEE | Contact No | 7063428591 |
| Address | 10A VIVEKANANDA LANE , SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||