Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07233 | Date 27/12/2019 |
| Token No | SM/19-20/19540 13/03/2020 | Serial | 014 Last Visit: 13/03/2020 |
| Patient Name | Mrs. JHUMUR SENAPATI | Contact No | 9239137819 |
| Address | 134/49 MUKHERJEE PARA HARISABHA CHATRA , BAIDYABATI(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||