Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05859 | Date 19/07/2019 |
| Token No | SM/19-20/6894 19/07/2019 | Serial | 084 Last Visit: 02/08/2019 |
| Patient Name | Mrs. DIPTI LAHIRI | Contact No | 9239584579 |
| Address | 69 SATCHASHI PARA,BAIDYABATI(M) | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||