Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08951 | Date 09/11/2020 |
| Token No | SM/20-21/27353 09/11/2020 | Serial | 058 Last Visit: 09/11/2020 |
| Patient Name | Mrs. TUMPA MONDAL | Contact No | 8981402845 |
| Address | 132/1 RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||