Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 03858 | Date 25/02/2019 |
| Token No | SM/18-19/9427 25/02/2019 | Serial | 034 Last Visit: 25/02/2019 |
| Patient Name | Mrs. PAPIYA KUNDU BHOUMIK | Contact No | 8442971512 |
| Address | 176 N S ROAD,SARKER PARA,BAIDYABATI(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 45.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||