Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08252 | Date 14/05/2020 |
| Token No | SM/19-20/22323 18/05/2020 | Serial | 022 Last Visit: 08/06/2020 |
| Patient Name | Mrs. MANJU CHATTERJEE | Contact No | 8583811758 |
| Address | 15 CHATRA CHOWDHURY PARA BYE LANE | Age | 67 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||