Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08330 | Date 10/06/2020 |
| Token No | SM/19-20/22931 10/06/2020 | Serial | 016 Last Visit: 10/06/2020 |
| Patient Name | Miss MONALISHA GUCHHAIT | Contact No | 7278769134 |
| Address | 68 RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||