Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07687 | Date 02/03/2020 |
| Token No | SM/19-20/18991 02/03/2020 | Serial | 028 Last Visit: 02/03/2020 |
| Patient Name | Mrs. BABY SENAPATI | Contact No | 8017231802 |
| Address | 134/50 MUKHERJEE PARA ,HARISABHA,BAIDYABATI(M) | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||