Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05540 | Date 24/06/2019 |
| Token No | SM/19-20/16119 02/01/2020 | Serial | 012 Last Visit: 06/05/2022 |
| Patient Name | Mrs. SUMANA CHAKRABORTY | Contact No | 9903402009 |
| Address | 52 N C.LANE,BAIDYABATI(M) | Age | 51YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||