Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03072 | Date 18/01/2019 |
| Token No | SM/18-19/7047 18/01/2019 | Serial | 051 Last Visit: 18/01/2019 |
| Patient Name | Mrs. SANTANA MANNA | Contact No | 9088299766 |
| Address | PAMPA NAGAR CHATRA , BAIDYABATI (M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/90 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||