Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07586 | Date 19/02/2020 |
| Token No | SM/19-20/18378 19/02/2020 | Serial | 039 Last Visit: 19/02/2020 |
| Patient Name | Mrs. SUJIT KUMAR | Contact No | 6254875856 |
| Address | 4, RAMKRISHNA ROAD BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||