Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01387 | Date 27/09/2018 |
| Token No | SM/19-20/4208 08/06/2019 | Serial | 056 Last Visit: 18/10/2019 |
| Patient Name | Mrs. ANUSHREE MUKHERJEE | Contact No | 9088680821 |
| Address | CHATRA CHOWDHURI PARA | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||