Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03596 | Date 15/02/2019 |
| Token No | SM/18-19/8739 15/02/2019 | Serial | 027 Last Visit: 15/02/2019 |
| Patient Name | Mrs. SUMITRA PAUL | Contact No | 8582866214 |
| Address | 38/1 CHATRA,TETUL TALA BAZER,BAIDYABATI(M) | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||