Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07556 | Date 15/02/2020 |
| Token No | SM/19-20/18170 15/02/2020 | Serial | 069 Last Visit: 15/02/2020 |
| Patient Name | Mrs. SUKLA BERA | Contact No | 9681299974 |
| Address | 237/A R K ROAD BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||