Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06653 | Date 16/10/2019 |
| Token No | SM/19-20/11830 16/10/2019 | Serial | 048 Last Visit: 16/10/2019 |
| Patient Name | Mrs. ASHIMA NANDI | Contact No | 9230128638 |
| Address | 78, TELI PARA CHATRA, BAIDYABATI(M) | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/64 mmHg | Weight | KG |
| Pulse Rate | 68 / min | Height | cm BMI: nan |
| Diagnosis | |||