Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03132 | Date 22/01/2019 |
| Token No | SM/18-19/11354 27/03/2019 | Serial | 058 Last Visit: 27/03/2019 |
| Patient Name | Mrs. RANU KAYAL | Contact No | 8981228050 |
| Address | CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||