Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06349 | Date 06/09/2019 |
| Token No | SM/19-20/10153 11/09/2019 | Serial | 060 Last Visit: 11/09/2019 |
| Patient Name | Mrs. KALPANA GHARA | Contact No | 9831510762 |
| Address | 32 CHATRA MUKHERJEE PARA , BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||