Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05657 | Date 02/07/2019 |
| Token No | SM/19-20/5797 02/07/2019 | Serial | 087 Last Visit: 02/07/2019 |
| Patient Name | Mrs. BANDANA SADHUKHAN | Contact No | 9609352047 |
| Address | 3 CHATRA DHARMOTALA SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||