Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04523 | Date 03/04/2019 |
| Token No | SM/19-20/149 03/04/2019 | Serial | 004 Last Visit: 03/04/2019 |
| Patient Name | Mrs. GOUR MONDAL | Contact No | 9804789891 |
| Address | 24, DAKSHIN BHATTCHARJEE PARA , BAIDYABATI(M) | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||