Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03719 | Date 20/02/2019 |
| Token No | SM/19-20/1983 30/04/2019 | Serial | 051 Last Visit: 23/09/2020 |
| Patient Name | Mrs. SUSHAMA PARUI | Contact No | 9143168993 |
| Address | CHATRA LANKAR BAGAN ROAD , BAIDYABATI(M) | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||