Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07921 | Date 24/03/2020 |
| Token No | SM/19-20/20235 24/03/2020 | Serial | 056 Last Visit: 24/03/2020 |
| Patient Name | Mrs. SHILPA BANERJEE | Contact No | 9330111360 |
| Address | 35 CHATRA DAS PARA,BAIDYABATI(M) | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||