Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05858 | Date 19/07/2019 |
| Token No | SM/19-20/6893 19/07/2019 | Serial | 083 Last Visit: 19/07/2019 |
| Patient Name | Mrs. MOUSUMI BHATTACHARYA | Contact No | 9830663385 |
| Address | CHATRA CHOWDHURY PARA LANE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/110 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||