Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08585 | Date 24/07/2020 |
| Token No | SM/19-20/24423 24/07/2020 | Serial | 040 Last Visit: 24/07/2020 |
| Patient Name | Miss BAISHALI KUNDU | Contact No | 9836811534 |
| Address | 3/A/5 DUTTA PARA LANE CHATRA SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||