Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07637 | Date 26/02/2020 |
| Token No | SM/19-20/18709 26/02/2020 | Serial | 052 Last Visit: 12/03/2020 |
| Patient Name | Mrs. CHAINA CHATTERJEE | Contact No | 9062270995 |
| Address | 83/A G. T. NABAGRAM ,BAIDYABATI(M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||