Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03320 | Date 02/02/2019 |
| Token No | SM/18-19/7870 02/02/2019 | Serial | 059 Last Visit: 02/02/2019 |
| Patient Name | Mrs. SWARASATI DHARA | Contact No | |
| Address | DOKKHIN ,BHATTACHARJEE PARA,BAIDYABATI (M) | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||