Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07368 | Date 20/01/2020 |
| Token No | SM/19-20/16893 20/01/2020 | Serial | 006 Last Visit: 20/01/2020 |
| Patient Name | Mrs. SANDHYA MUKHERJEE | Contact No | 7003516041 |
| Address | 29 CHATRA TETULTALA , BAIDYABATI(M) | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||