Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06111 | Date 10/08/2019 |
| Token No | SM/19-20/16895 20/01/2020 | Serial | 008 Last Visit: 20/01/2020 |
| Patient Name | Mrs. REKHARANI DEY | Contact No | 7003516041 |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI (M) | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||