Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06923 | Date 19/11/2019 |
| Token No | SM/19-20/14592 03/12/2019 | Serial | 075 Last Visit: 24/02/2020 |
| Patient Name | Mrs. KRISHANA DUTTA | Contact No | 9239170260 |
| Address | 195/2 CHATRA TETULTALA , BAIDYABATI(M) | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||