Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02961 | Date 11/01/2019 |
| Token No | SM/18-19/6673 11/01/2019 | Serial | 030 Last Visit: 18/01/2019 |
| Patient Name | Miss PRIYA KUNWAR | Contact No | 6290024514 |
| Address | 260C G T ROAD ,MORADAN,BAIDYABATY(M) | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||