Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04554 | Date 04/04/2019 |
| Token No | SM/19-20/273 04/04/2019 | Serial | 062 Last Visit: 04/04/2019 |
| Patient Name | Mrs. TAPATI CHAKRABORTY | Contact No | 8100244474 |
| Address | 37 N C CHAKRABORTYCHATRA LANE SITALA TALA,BAIDYABATI(M) | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||