Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07095 | Date 06/12/2019 |
| Token No | SM/19-20/15644 20/12/2019 | Serial | 013 Last Visit: 20/12/2019 |
| Patient Name | Mrs. ALPANA NATH | Contact No | 9883090469 |
| Address | 131/A GT ROAD MARADAN , BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||