Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07110 | Date 09/12/2019 |
| Token No | SM/19-20/14922 09/12/2019 | Serial | 032 Last Visit: 09/12/2019 |
| Patient Name | Mrs. DIPA CHATTERJEE | Contact No | 9874013155 |
| Address | 34 19/1 R K BEY LANE,BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||