Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07724 | Date 06/03/2020 |
| Token No | SM/19-20/19232 06/03/2020 | Serial | 057 Last Visit: 06/03/2020 |
| Patient Name | Miss PAMPA DAS | Contact No | 7890650066 |
| Address | 502 G T ROAD JAL TANK, BAIDYABATI(M) | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||