Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 03327 | Date 02/02/2019 |
| Token No | SM/18-19/7881 02/02/2019 | Serial | 070 Last Visit: 02/05/2020 |
| Patient Name | Mrs. RITA KUNDU BHUMIK | Contact No | 9339620905 |
| Address | 167 N S ROAD,SEORAPHULY | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||