Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06565 | Date 27/09/2019 |
| Token No | SM/19-20/19060 04/03/2020 | Serial | 034 Last Visit: 04/03/2020 |
| Patient Name | Mrs. DEBASREE GUHA | Contact No | 7980837173 |
| Address | 8A CHOWDHURI PARA BEY LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||