Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07773 | Date 13/03/2020 |
| Token No | SM/19-20/19838 18/03/2020 | Serial | 012 Last Visit: 18/03/2020 |
| Patient Name | Mrs. APARNA PAL | Contact No | 9674309148 |
| Address | 65/7 FIRINGI DANGA ROAD, | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||