Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04304 | Date 19/03/2019 |
| Token No | SM/18-19/10879 19/03/2019 | Serial | 072 Last Visit: 19/03/2019 |
| Patient Name | Mrs. MOUMITA DAS | Contact No | 7044663836 |
| Address | 39B CHATRA SACHTASHI PARA LANE , BAIDYABATI(M) | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||