Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08802 | Date 30/09/2020 |
| Token No | SM/20-21/26163 30/09/2020 | Serial | 017 Last Visit: 30/09/2020 |
| Patient Name | Mrs. APARNA DHARA | Contact No | 7890628121 |
| Address | 49A DAKSHIN BHATTCHARJEE PARA , BAIDYABATI (M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||