Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02293 | Date 03/12/2018 |
| Token No | SM/18-19/4556 03/12/2018 | Serial | 022 Last Visit: 22/01/2022 |
| Patient Name | Mrs. MINATI GHOSH | Contact No | 6290339775 |
| Address | 45 B M M LANE CHAPDANI LANE , BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||