Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10640 | Date 08/02/2022 |
| Token No | SM/21-22/10762 14/03/2022 | Serial | 021 Last Visit: 15/06/2022 |
| Patient Name | Mrs. PARAMITA CHAKRABORTY | Contact No | 8200150457 |
| Address | 101 SHITALA TALA ROAD,BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||