Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05048 | Date 08/05/2019 |
| Token No | SM/19-20/2401 08/05/2019 | Serial | 092 Last Visit: 17/05/2019 |
| Patient Name | Mrs. JHUMA DAS | Contact No | 9339714030 |
| Address | BAIDYAPARA G.N GUPTA LANE , BAIDYABATI(M) | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||