Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07006 | Date 29/11/2019 |
| Token No | SM/19-20/14242 29/11/2019 | Serial | 011 Last Visit: 29/11/2019 |
| Patient Name | Mrs. BULU ROY | Contact No | |
| Address | RAM MOHAN SARANI , BAIDYABATI(M) | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||