Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02979 | Date 14/01/2019 |
| Token No | SM/18-19/6724 14/01/2019 | Serial | 015 Last Visit: 14/01/2019 |
| Patient Name | Mrs. LILY HAZRA | Contact No | 9830685318 |
| Address | 3/A CHATRA CHOEDHURY PARA | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||