Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06847 | Date 13/11/2019 |
| Token No | SM/19-20/13142 13/11/2019 | Serial | 069 Last Visit: 18/11/2019 |
| Patient Name | Mrs. KARUNA DAS | Contact No | 9088757204 |
| Address | N S ROAD KHUDIRAM PALLY , BHADRESWAR (M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||