Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03215 | Date 29/01/2019 |
| Token No | SM/19-20/1339 22/04/2019 | Serial | 054 Last Visit: 04/05/2021 |
| Patient Name | Mrs. MINA MAHATO | Contact No | 7278851066 |
| Address | 55/1 SATCHASHI PARA , BAIDYABATI (M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||