Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07943 | Date 27/03/2020 |
| Token No | SM/19-20/20449 28/03/2020 | Serial | 036 Last Visit: 28/03/2020 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | 9088657116 |
| Address | 30/11 RAMKRISHHNA BYE LANE,BAIDYABATI(M) | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||