Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05837 | Date 19/07/2019 |
| Token No | SM/19-20/6831 19/07/2019 | Serial | 021 Last Visit: 19/07/2019 |
| Patient Name | Miss BIDISHA CHOWDHURY | Contact No | 8583928602 |
| Address | 57/A CHATRA DUTTA PARA LANE | Age | 24 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||