Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03322 | Date 02/02/2019 |
| Token No | SM/18-19/7872 02/02/2019 | Serial | 061 Last Visit: 02/02/2019 |
| Patient Name | Mrs. KONIKA BHATTACHARJEE | Contact No | 9836076759 |
| Address | CHATRA,LANKER BAGAN,BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||