Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05006 | Date 03/05/2019 |
| Token No | SM/19-20/2117 03/05/2019 | Serial | 021 Last Visit: 03/05/2019 |
| Patient Name | Mrs. BABY RANI SHING | Contact No | 8240989878 |
| Address | CHATU GUNGE,BAIDYABATI (M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||