Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06357 | Date 07/09/2019 |
| Token No | SM/19-20/9991 07/09/2019 | Serial | 060 Last Visit: 07/09/2019 |
| Patient Name | Mrs. SOVANA MUKHERJEE | Contact No | 9051733052 |
| Address | 12 CHATRA KUMAR PARA , SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||