Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07630 | Date 25/02/2020 |
| Token No | SM/19-20/18648 25/02/2020 | Serial | 048 Last Visit: 25/02/2020 |
| Patient Name | Mrs. RIJIA PURKAIT | Contact No | 9163078547 |
| Address | 90/60 CHATTERJEE PARA,BAIDYABATI(M) | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||