Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06745 | Date 23/10/2019 |
| Token No | SM/20-21/25773 18/09/2020 | Serial | 023 Last Visit: 04/12/2020 |
| Patient Name | Mrs. MUNMUN ROY | Contact No | 9163032238 |
| Address | 350/7 G.T ROAD SATCHASHI PARA , BAIDYABATI(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||