Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02779 | Date 02/01/2019 |
| Token No | SM/18-19/6117 02/01/2019 | Serial | 026 Last Visit: 18/03/2020 |
| Patient Name | Mrs. SANDHYA BANERJEE | Contact No | 8420087212 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||