Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07605 | Date 22/02/2020 |
| Token No | SM/19-20/19005 02/03/2020 | Serial | 042 Last Visit: 02/03/2020 |
| Patient Name | Mrs. ESMOTARA BIBI | Contact No | 8017535789 |
| Address | 96 CHATTERJEE PARA LANE , BAIDYABATI(M) | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||