Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06359 | Date 09/09/2019 |
| Token No | SM/19-20/10003 09/09/2019 | Serial | 007 Last Visit: 09/09/2019 |
| Patient Name | Mrs. SUPARNA ROY | Contact No | 8420715397 |
| Address | CHATRA , SHITALA TALA, BAIDYABATI (M) | Age | 28 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||