Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03450 | Date 07/02/2019 |
| Token No | SM/18-19/8271 07/02/2019 | Serial | 098 Last Visit: 07/02/2019 |
| Patient Name | Mrs. KAMALA BHADURI | Contact No | 8282810633 |
| Address | CHATRA BOUBAZAR,BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||