Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03272 | Date 01/02/2019 |
| Token No | SM/18-19/8312 08/02/2019 | Serial | 038 Last Visit: 08/02/2019 |
| Patient Name | Mrs. SANDHYA MAJHI | Contact No | 9830201834 |
| Address | 199/A CHATRA BAGHER BAGAN ,BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||