Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03860 | Date 25/02/2019 |
| Token No | SM/18-19/9431 25/02/2019 | Serial | 038 Last Visit: 23/03/2019 |
| Patient Name | Miss NAMITA MONDAL | Contact No | 9088246514 |
| Address | SUKANTA NAGAR ,.SEORAPHULY,BAIDYABATI(M) | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||