Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07148 | Date 14/12/2019 |
| Token No | SM/19-20/15257 14/12/2019 | Serial | 022 Last Visit: 14/12/2019 |
| Patient Name | Mrs. YEINDRILA SAHA | Contact No | 7003798359 |
| Address | 190 RAJABAGAN BAIDYABATI(M) | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||