Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02434 | Date 10/12/2018 |
| Token No | SM/18-19/11506 29/03/2019 | Serial | 014 Last Visit: 14/03/2020 |
| Patient Name | Mrs. BRASHA CHATTERJEE | Contact No | 9432244377 |
| Address | 21 B/1 CHATRA CHOWDHURY PARA | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||