Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04592 | Date 06/04/2019 |
| Token No | SM/19-20/415 06/04/2019 | Serial | 043 Last Visit: 06/04/2019 |
| Patient Name | Mrs. NAINA DAS | Contact No | |
| Address | 13 CHATRA DAS PARA HARIJAN ROAD , BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||