Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07790 | Date 14/03/2020 |
| Token No | SM/19-20/19636 14/03/2020 | Serial | 039 Last Visit: 14/03/2020 |
| Patient Name | Mrs. BULA GHOSH | Contact No | 9007740812 |
| Address | 145/54 MUKHERJEE PARA HARISABHA CHATRA , BAIDYABATI(M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||