Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03473 | Date 08/02/2019 |
| Token No | SM/21-22/1046 30/04/2021 | Serial | 040 Last Visit: 30/04/2021 |
| Patient Name | Mrs. SAGARIKA SAHA | Contact No | 9339714030 |
| Address | 41 D N MUKHERJEE 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 | |||