Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01002 | Date 08/09/2018 |
| Token No | SM/18-19/7207 21/01/2019 | Serial | 075 Last Visit: 13/07/2019 |
| Patient Name | Mrs. INDRANILA BHATTACHARYA | Contact No | 7059705107 |
| Address | 38, A.P GHOSH ROAD CHATRA SERAMPORE | Age | 23 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 93 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||