Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03808 | Date 22/02/2019 |
| Token No | SM/18-19/9300 22/02/2019 | Serial | 077 Last Visit: 22/02/2019 |
| Patient Name | Mrs. GULAPI DAS | Contact No | 7278469861 |
| Address | MARADAN G T ROAD, BAIDYABATI(M) | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||