Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08448 | Date 29/06/2020 |
| Token No | SM/19-20/23527 29/06/2020 | Serial | 035 Last Visit: 29/06/2020 |
| Patient Name | Mrs. SATARUPA KAR (HALDER) | Contact No | 6291851084 |
| Address | 8NO LAHIRIPARA LANE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||