Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07885 | Date 21/03/2020 |
| Token No | SM/19-20/20105 21/03/2020 | Serial | 061 Last Visit: 21/03/2020 |
| Patient Name | Mrs. FARIDA BIBI | Contact No | 7278110161 |
| Address | 252 KHANDAKAR PARA , BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||