Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06451 | Date 17/09/2019 |
| Token No | SM/19-20/10692 19/09/2019 | Serial | 074 Last Visit: 19/09/2019 |
| Patient Name | Mrs. BAHRATI CHAKRABORTY | Contact No | 7596867167 |
| Address | 36/2 SHITLATALA ROAD , BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||