Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06362 | Date 09/09/2019 |
| Token No | SM/19-20/10043 09/09/2019 | Serial | 047 Last Visit: 09/09/2019 |
| Patient Name | Mrs. MANASHI MUKHERJEE | Contact No | 9231668338 |
| Address | 32 GURUDAS BHATTACHARJEE LANE, BAIDYABATI M, 712204 | Age | 37 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||