Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05672 | Date 05/07/2019 |
| Token No | SM/19-20/8456 16/08/2019 | Serial | 039 Last Visit: 23/04/2020 |
| Patient Name | Mrs. SANDHYA GHOSHAL | Contact No | 9903132418 |
| Address | 35/2 LANKAR BAGAN , BAIDYABATI(M) | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||