Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06498 | Date 21/09/2019 |
| Token No | SM/19-20/10867 21/09/2019 | Serial | 076 Last Visit: 12/03/2020 |
| Patient Name | Mrs. SUMITRA DAS | Contact No | 9681248032 |
| Address | 184/2 SATCHASI PARS ,BAIDYABATI(M) | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||