Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03835 | Date 23/02/2019 |
| Token No | SM/18-19/9362 23/02/2019 | Serial | 048 Last Visit: 23/02/2019 |
| Patient Name | Mrs. CHANDANA HALDAR | Contact No | 6290360720 |
| Address | CHATRA TELI PARA , BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||