Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04576 | Date 05/04/2019 |
| Token No | SM/19-20/351 05/04/2019 | Serial | 057 Last Visit: 05/04/2019 |
| Patient Name | Mrs. SADHANA PAL | Contact No | 8017789964 |
| Address | CHATRA SHITALA TALA ROAD,BAIDYABATI(M) | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||