Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07490 | Date 06/02/2020 |
| Token No | SM/19-20/20497 30/03/2020 | Serial | 048 Last Visit: 10/12/2021 |
| Patient Name | Mrs. FALGUNI CHATTERJEE | Contact No | 9239339020 |
| Address | 22/B CHOWDHURY PARA BYE LANE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||