Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03878 | Date 26/02/2019 |
| Token No | SM/18-19/9498 26/02/2019 | Serial | 051 Last Visit: 05/03/2019 |
| Patient Name | Mrs. SONALI KOUR | Contact No | 7449774981 |
| Address | 15/25 KAJI PARA , BAIDYABATI(M) | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||