Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04291 | Date 19/03/2019 |
| Token No | SM/19-20/5581 29/06/2019 | Serial | 014 Last Visit: 01/08/2022 |
| Patient Name | Mrs. MOUMITA BISWASH | Contact No | 9875694351 |
| Address | 46/1 SATCHASI PARA,BAIDYABATI(M) | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||