Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06334 | Date 05/09/2019 |
| Token No | SM/21-22/660 21/04/2021 | Serial | 019 Last Visit: 21/04/2021 |
| Patient Name | Mrs. ANJALI MONDAL | Contact No | 8584986942 |
| Address | 14 (12), MUKHERJEE PARA , BAIDYABATI(M) | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||