Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05511 | Date 21/06/2019 |
| Token No | SM/19-20/5017 21/06/2019 | Serial | 043 Last Visit: 21/06/2019 |
| Patient Name | Mrs. ANANYA BAR | Contact No | 9007526476 |
| Address | 153/170 NETAJI NAGAR , BAIDYABATI(M) | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||