Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06559 | Date 27/09/2019 |
| Token No | SM/19-20/11221 27/09/2019 | Serial | 032 Last Visit: 27/09/2019 |
| Patient Name | Mrs. RIYA GHOSAL | Contact No | 9903132418 |
| Address | 89(35/2),SATCHASHI PARA,BAIDYABATI(M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||