Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07181 | Date 18/12/2019 |
| Token No | SM/19-20/18580 24/02/2020 | Serial | 056 Last Visit: 24/02/2020 |
| Patient Name | Mrs. ALPANA DUTTA | Contact No | 9088950234 |
| Address | 195/1 SHITALA TALA ROAD CHATRA BAIDYABATI(M) | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||