Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05959 | Date 25/07/2019 |
| Token No | SM/19-20/7322 25/07/2019 | Serial | 075 Last Visit: 04/08/2020 |
| Patient Name | Mrs. LOVELY CHOWDHURY | Contact No | 9123382185 |
| Address | 23/B CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/98 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||