Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03539 | Date 13/02/2019 |
| Token No | SM/18-19/8560 13/02/2019 | Serial | 027 Last Visit: 13/02/2019 |
| Patient Name | Mrs. JHARNA CHATTERJEE | Contact No | |
| Address | CHARA BAGAN,BAURIPARA,BAIDYABATI(M) | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||