Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07445 | Date 01/02/2020 |
| Token No | SM/19-20/17393 01/02/2020 | Serial | 004 Last Visit: 01/02/2020 |
| Patient Name | Mrs. RENUKA PAL | Contact No | 9143888994 |
| Address | BORA KAMALAPUR BORA SINGUR | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||