Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03967 | Date 02/03/2019 |
| Token No | SM/18-19/10095 07/03/2019 | Serial | 098 Last Visit: 07/03/2019 |
| Patient Name | Mrs. MAMUNI NATH | Contact No | 9836594725 |
| Address | 23/A CHATRA LANKER BAGAN,BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||