Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05802 | Date 16/07/2019 |
| Token No | SM/19-20/6628 16/07/2019 | Serial | 076 Last Visit: 16/07/2019 |
| Patient Name | Mrs. PRANATI CHAKRABORTY | Contact No | 8961668828 |
| Address | 1/2 CHATTERJEE LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||