Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03113 | Date 21/01/2019 |
| Token No | SM/18-19/10958 20/03/2019 | Serial | 063 Last Visit: 01/05/2020 |
| Patient Name | Mrs. SWAPANA CHATERJEE | Contact No | 8017230134 |
| Address | 14B CHATRA CHOWDHURY PARA BY LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||