Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04591 | Date 06/04/2019 |
| Token No | SM/19-20/414 06/04/2019 | Serial | 042 Last Visit: 21/10/2020 |
| Patient Name | Mrs. KANAN DAS | Contact No | 8013648998 |
| Address | 13 CHATRA DAS PARA HARIJAN ROAD , BAIDYABATI(M) | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||