Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03859 | Date 25/02/2019 |
| Token No | SM/18-19/9429 25/02/2019 | Serial | 036 Last Visit: 16/03/2019 |
| Patient Name | Mrs. SARMILA DAS | Contact No | 8017751566 |
| Address | CHATRA MANNA PARA,BAIDYABATI(M) | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||