Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08206 | Date 04/05/2020 |
| Token No | SM/19-20/21884 04/05/2020 | Serial | 028 Last Visit: 04/05/2020 |
| Patient Name | Mrs. TAPASHI CHAKRABORTY | Contact No | 7980772297 |
| Address | 36 NABIN CH. CHAKRABORTY LANE,BAIDYABATI(M) | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||