Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04208 | Date 15/03/2019 |
| Token No | SM/18-19/10846 19/03/2019 | Serial | 039 Last Visit: 09/04/2019 |
| Patient Name | Mrs. NAMITA SANTRA | Contact No | 7003415335 |
| Address | SHEWRAPHULI SARKAR PARA , BAIDYABATI(M) | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||