Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07021 | Date 30/11/2019 |
| Token No | SM/19-20/14343 30/11/2019 | Serial | 017 Last Visit: 30/11/2019 |
| Patient Name | Mrs. CHHAYARANI SAHA | Contact No | 7044158527 |
| Address | 93 D N MUKHERJEE ROAD , BAIDYABATI(M) | Age | 77 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||