Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06846 | Date 13/11/2019 |
| Token No | SM/19-20/15722 21/12/2019 | Serial | 030 Last Visit: 17/08/2021 |
| Patient Name | Mrs. SANDHYA ADAK | Contact No | 9780891326 |
| Address | 65/2, KASHINATH CHATTERJEE LANE , HOWRAH (M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||