Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06350 | Date 06/09/2019 |
| Token No | SM/19-20/9917 06/09/2019 | Serial | 082 Last Visit: 06/09/2019 |
| Patient Name | Mrs. SONARANI KARAR | Contact No | 9748948694 |
| Address | 49 DUTTA PARA LANE SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||