Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04163 | Date 11/03/2019 |
| Token No | SM/18-19/10368 11/03/2019 | Serial | 077 Last Visit: 04/02/2021 |
| Patient Name | Mrs. TUMPA ROY | Contact No | 7890198205 |
| Address | 93 D.N MUKHERJEE ROAD CHATRA , BAIDYABATI(M) | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||