Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05624 | Date 29/06/2019 |
| Token No | SM/19-20/5611 29/06/2019 | Serial | 044 Last Visit: 29/06/2019 |
| Patient Name | Mrs. ACHANA MUKHERJEE | Contact No | 9874724932 |
| Address | 90 MUKHERJEE PARA CHATRA SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||