Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08485 | Date 06/07/2020 |
| Token No | SM/19-20/23787 06/07/2020 | Serial | 029 Last Visit: 06/07/2020 |
| Patient Name | Mrs. SAGARIKA RAUTH DEY | Contact No | 7003113482 |
| Address | 32 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||