Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08258 | Date 15/05/2020 |
| Token No | SM/20-21/29361 14/01/2021 | Serial | 027 Last Visit: 17/03/2021 |
| Patient Name | Mrs. SUDHA MUKHERJEE | Contact No | 9051883092 |
| Address | 19 DR. P.N. MUKHERJEE STREET | Age | 46 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||