Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03303 | Date 02/02/2019 |
| Token No | SM/18-19/8648 14/02/2019 | Serial | 013 Last Visit: 02/03/2019 |
| Patient Name | Mrs. ANJALI BAG | Contact No | 9143649858 |
| Address | 80/BCHATRA, KUMER BAGAN,BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||