Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09599 | Date 10/05/2021 |
| Token No | SM/21-22/1450 17/05/2021 | Serial | 035 Last Visit: 17/05/2021 |
| Patient Name | Mrs. MADHUMITA CHAKRABORTI | Contact No | 9836378050 |
| Address | 6 P. N. CHAKRABORTY LANE,CHATRA | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||