Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05640 | Date 02/07/2019 |
| Token No | SM/19-20/5738 02/07/2019 | Serial | 028 Last Visit: 02/07/2019 |
| Patient Name | Mrs. SIDHYASWARI MUKHERJEE | Contact No | 9231478218 |
| Address | 3/E CHATRA DUTTA PARA, | Age | 50 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||