Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03580 | Date 14/02/2019 |
| Token No | SM/18-19/8689 14/02/2019 | Serial | 054 Last Visit: 14/02/2019 |
| Patient Name | Miss BHASWATI GUIN | Contact No | 9836351599 |
| Address | 53 /35B SHITALA TALA ROAD,BAIDYABATI(M) | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||