Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07472 | Date 04/02/2020 |
| Token No | SM/19-20/17604 04/02/2020 | Serial | 041 Last Visit: 04/02/2020 |
| Patient Name | Mrs. SUTAPA CHATTERJEE | Contact No | 9674491297 |
| Address | 11 JAGAMOHOAN LAHIRI LANE,CHATRA | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||