Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07098 | Date 06/12/2019 |
| Token No | SM/19-20/14821 06/12/2019 | Serial | 078 Last Visit: 18/03/2020 |
| Patient Name | Mrs. MAYA DAS | Contact No | 7044748556 |
| Address | CHATRA MANA PARA , 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 | |||