Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01864 | Date 02/11/2018 |
| Token No | SM/18-19/3371 02/11/2018 | Serial | 055 Last Visit: 23/06/2022 |
| Patient Name | Mrs. INDRANI CHAKRABORTY | Contact No | 9874865372 |
| Address | 21/A P.N CHAKRABORTY LANE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||