Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04660 | Date 10/04/2019 |
| Token No | SM/19-20/1330 22/04/2019 | Serial | 045 Last Visit: 20/12/2021 |
| Patient Name | Mrs. MANJUSHREE CHATERJEE | Contact No | 9051150820 |
| Address | 43 RAMKRISHNA BYE LANE CHATRA MANA PARA , BAIDYABATI(M) | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||