Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04889 | Date 24/04/2019 |
| Token No | SM/19-20/1563 24/04/2019 | Serial | 033 Last Visit: 24/04/2019 |
| Patient Name | Mrs. MANIPARNA DAS | Contact No | 7059845462 |
| Address | 24 CHATRA KALI TALA , BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||