Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07684 | Date 02/03/2020 |
| Token No | SM/19-20/18974 02/03/2020 | Serial | 011 Last Visit: 02/03/2020 |
| Patient Name | Mrs. KAMALA GHOSH | Contact No | 8013281048 |
| Address | 127/1 SITALATALA ROAD CHATRA , BAIDYABATI(M) | Age | 77 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||