Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00199 | Date 07/08/2018 |
| Token No | SM/19-20/9788 04/09/2019 | Serial | 019 Last Visit: 04/09/2019 |
| Patient Name | Mrs. MITALI DEY | Contact No | 8017495808 |
| Address | 1/A, DR. P.N. MUKHERJEE STREET | Age | 46.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||