Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07908 | Date 24/03/2020 |
| Token No | SM/19-20/20217 24/03/2020 | Serial | 038 Last Visit: 24/03/2020 |
| Patient Name | Mrs. SANDHA MUKHERJEE | Contact No | |
| Address | 13/14 , MUKHERJEE PARA ,CHATRA BAIDYABATI (M) | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||