Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06842 | Date 13/11/2019 |
| Token No | SM/19-20/13094 13/11/2019 | Serial | 021 Last Visit: 13/11/2019 |
| Patient Name | Mrs. MINA SETT | Contact No | 9874730408 |
| Address | 470 (390) G.T ROAD BOWBAZAR, BAIDYABATI(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||