Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07295 | Date 07/01/2020 |
| Token No | SM/19-20/16331 07/01/2020 | Serial | 039 Last Visit: 07/01/2020 |
| Patient Name | Mrs. MAYA PRAMANIK | Contact No | 9163036162 |
| Address | 9/3 GODAR BAGAN LANE, BAIDYABATI(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||