Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03739 | Date 20/02/2019 |
| Token No | SM/18-19/9130 20/02/2019 | Serial | 068 Last Visit: 20/02/2019 |
| Patient Name | Mrs. BHARATI HAZRA | Contact No | 8017570186 |
| Address | CHATRA BAGER BAGAN, BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||