Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05287 | Date 29/05/2019 |
| Token No | SM/19-20/22786 05/06/2020 | Serial | 025 Last Visit: 05/06/2020 |
| Patient Name | Mrs. MADHUMITA CHAKRABORTY | Contact No | 9883078020 |
| Address | 6 P.N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||