Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05571 | Date 25/06/2019 |
| Token No | SM/19-20/5329 25/06/2019 | Serial | 085 Last Visit: 25/06/2019 |
| Patient Name | Mrs. MAMTA SANTRA | Contact No | 7450064959 |
| Address | 104, 3 NO. LAHANAGAR COLONY SHEWRAPHULI , BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||