Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01863 | Date 02/11/2018 |
| Token No | SM/19-20/9518 30/08/2019 | Serial | 090 Last Visit: 21/01/2021 |
| Patient Name | Mrs. ANJALI MUKHERJEE | Contact No | 7687015537 |
| Address | 16 CHATRA CHOWDHURY PARA, SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||