Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07789 | Date 14/03/2020 |
| Token No | SM/19-20/19635 14/03/2020 | Serial | 038 Last Visit: 14/03/2020 |
| Patient Name | Mrs. RUMA SENAPATI | Contact No | 8697635194 |
| Address | 134/50 MUKHERJEE PARA HARISABHA , BAIDYABATI(M) | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||