Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06441 | Date 17/09/2019 |
| Token No | SM/19-20/10523 17/09/2019 | Serial | 014 Last Visit: 17/09/2019 |
| Patient Name | Mrs. PRATIMA MANNA | Contact No | 7278409417 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYBATI(M) | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 104/58 mmHg | Weight | 33 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||