Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03544 | Date 13/02/2019 |
| Token No | SM/19-20/22233 14/05/2020 | Serial | 017 Last Visit: 14/05/2020 |
| Patient Name | Mrs. ALPANA KOLEY | Contact No | 9088543344 |
| Address | 5/1 HARIJON ROAD,BAIDYABATI(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||