Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04267 | Date 18/03/2019 |
| Token No | SM/18-19/10999 23/03/2019 | Serial | 003 Last Visit: 23/03/2019 |
| Patient Name | Mrs. REBA BISWAS | Contact No | 7439364150 |
| Address | KHAR PARA KALI TALA LANE , BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||