Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02365 | Date 06/12/2018 |
| Token No | SM/18-19/4750 06/12/2018 | Serial | 005 Last Visit: 09/08/2021 |
| Patient Name | Mrs. MANJU CHAKRABORTY | Contact No | 8444095021 |
| Address | 51 K.M BHATTCHARJEE STREET | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||