Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04600 | Date 06/04/2019 |
| Token No | SM/19-20/428 06/04/2019 | Serial | 056 Last Visit: 06/04/2019 |
| Patient Name | Miss PINKI RAUTH | Contact No | 8617748188 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||