Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02305 | Date 03/12/2018 |
| Token No | SM/18-19/7041 18/01/2019 | Serial | 045 Last Visit: 18/01/2019 |
| Patient Name | Mrs. APERNA MONDAL | Contact No | |
| Address | CHATRA BAGER BAGAN,BAIDYABATY(M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||