Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 06566 | Date 27/09/2019 |
| Token No | SM/19-20/11258 27/09/2019 | Serial | 069 Last Visit: 27/09/2019 |
| Patient Name | Mrs. JHARNA MALIK | Contact No | |
| Address | 66/1H/1H,RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||