Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03524 | Date 12/02/2019 |
| Token No | SM/18-19/8514 12/02/2019 | Serial | 118 Last Visit: 12/02/2019 |
| Patient Name | Mrs. SATHI BHATTCHARJEE | Contact No | 7003534593 |
| Address | CHATRA LANKAR BAGAN BAIDYABATI (M) | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||