Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06283 | Date 30/08/2019 |
| Token No | SM/19-20/9512 30/08/2019 | Serial | 084 Last Visit: 01/10/2019 |
| Patient Name | Mrs. SWATI BHATTACHARJEE | Contact No | 9830279203 |
| Address | 80/33 GURUDAS BHATTCHARJEE LANE CHATRA , BAIDYABATI(M) | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||