Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06117 | Date 16/08/2019 |
| Token No | SM/19-20/8434 16/08/2019 | Serial | 017 Last Visit: 16/08/2019 |
| Patient Name | Mrs. SARSWATI CHAKRABORTY | Contact No | 9836719935 |
| Address | 6 CHATRA CHOWDHURY PARA SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||