Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02189 | Date 28/11/2018 |
| Token No | SM/18-19/7279 22/01/2019 | Serial | 050 Last Visit: 11/06/2019 |
| Patient Name | Mrs. ALPANA PAKRHE | Contact No | 8647848249 |
| Address | 29, CHATRA BHATTCHARJEE PARA , BAIDYABATI(M) | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||